NPIMap

Organization Active NPI

Acn Physicians Group Corp

  • Multi-Specialty Clinic/Center
  • Miami, FL
National Provider Identifier
1619296308
Registry record updated Aug 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
ACN PHYSICIANS GROUP CORP
Practice address
7490 SW 23Rd St Ste 201
Miami, FL 33155-1417
Phone
(786) 953-8221
Fax
(786) 953-7514
NPI assigned
May 20, 2010
Organization subpart
Yes
Parent organization
ACN PHYSICIAN GROUP CORPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Vladimir Santos, MDNPI 1750522298
Title
President
Phone
(786) 953-8221

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

7490 SW 23Rd St Ste 201
Miami, FL 33155-1417

Mailing address

7490 SW 23Rd St Ste 201
Miami, FL 33155-1417
Phone (786) 953-8221

Other practice location 1

3146 SW 22nd St Fl 2
Miami, FL 33145-3210
Phone (786) 953-8874

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130625000530 FL Part B Supplier - Clinic/Group Practice 0143469080 Receives reassigned benefits from 6 practitioners
Practice locations: Miami, FL

National Provider Directory

National Provider Directory
Tax ID family
Acn Physicians Group Corp3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1274313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691366400000",
    "number": "1619296308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7490 SW 23RD ST STE 201",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331551417",
            "telephone_number": "786-953-8221",
            "fax_number": "786-953-7514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7490 SW 23RD ST STE 201",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331551417",
            "telephone_number": "786-953-8221",
            "fax_number": "786-953-7514"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3146 SW 22nd St Fl 2",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331453210",
            "country_code": "US",
            "telephone_number": "786-953-8874",
            "fax_number": "786-373-1509",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ACN PHYSICIANS GROUP CORP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ACN PHYSICIAN GROUP CORP",
        "enumeration_date": "2010-05-20",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A",
        "authorized_official_last_name": "SANTOS",
        "authorized_official_first_name": "VLADIMIR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-953-8221",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.