Mivip Anesthesia Group LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

MIVIP ANESTHESIA GROUP LLC

Practice address

11801 SW 90TH St
Suite 202
Miami, FL 33186-2182

Phone

(305) 595-6850

NPI assigned

Apr 15, 2016

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Isaac Verbukh

Title

Sole MBR

Phone

(561) 392-3341

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1460678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1619321684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "398 CAMINO GARDENS BLVD",
            "address_2": "SUITE 102",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334325827",
            "telephone_number": "561-392-3341",
            "fax_number": "561-392-3793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11801 SW 90TH ST",
            "address_2": "SUITE 202",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331862182",
            "telephone_number": "305-595-6850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIVIP ANESTHESIA GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-15",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "VERBUKH",
        "authorized_official_first_name": "ISAAC",
        "authorized_official_title_or_position": "SOLE MBR",
        "authorized_official_telephone_number": "561-392-3341",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOCUMENT NUMBER",
            "identifier": "L16000067973",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarada Mittapalli, DPM
• Carmen Mitte Zambrano
• Mitto Health Center
• Mitto Health Center Inc
• Tania Mitwalli, MD
• Mivip Medical Group Inc
• Mixter General Practice Corp
• Ingrid Mixter, M.D.
• Claudia Miyar Lopez
• Hebe B. Miyares, MSW, LCSW

• Health Service Clinic/Center in Miami, FL
• Providers in Miami, FL by specialty
• Health Service Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.