Active NPI
Related Medical Group Inc
- Psychiatry Physician
- Homestead, FL
National Provider Identifier
1619634136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- RELATED MEDICAL GROUP INC
- Practice address
- 633 N Krome Ave Ste 1
Homestead, FL 33030-6043 - Phone
- (305) 763-4007
- Fax
- (305) 847-0764
- NPI assigned
- Nov 18, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rafael Ramon Fernandez, APRN
- Title
- Owner/ Aprn
- Phone
- (786) 326-4240
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | |||
| Psychiatry Physician | 2084P0800X | Primary |
Addresses
Primary practice location
633 N Krome Ave Ste 1
Homestead, FL 33030-6043
Mailing address
633 N Krome Ave Ste 1
Homestead, FL 33030-6043
Phone (305) 763-4007
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
633 N Krome Ave
Ste 1
Homestead, FL 33030
Phone (305) 763-4007
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Doral, FL
- NPI 1073197794
Multi-Specialty
-
- Psychiatry Physician
- Homestead, FL
- NPI 1669515730
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637193600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1645747200000",
"number": "1619634136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "633 N KROME AVE STE 1",
"city": "HOMESTEAD",
"state": "FL",
"postal_code": "330306043",
"telephone_number": "305-763-4007",
"fax_number": "305-847-0764"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "633 N KROME AVE STE 1",
"city": "HOMESTEAD",
"state": "FL",
"postal_code": "330306043",
"telephone_number": "305-763-4007",
"fax_number": "305-847-0764"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RELATED MEDICAL GROUP INC",
"organizational_subpart": "NO",
"enumeration_date": "2021-11-18",
"last_updated": "2022-02-25",
"certification_date": "2022-02-25",
"status": "A",
"authorized_official_last_name": "FERNANDEZ",
"authorized_official_first_name": "RAFAEL",
"authorized_official_middle_name": "RAMON",
"authorized_official_title_or_position": "OWNER/ APRN",
"authorized_official_telephone_number": "786-326-4240",
"authorized_official_credential": "APRN"
},
"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": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Homestead, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2022; 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.