Organization Active NPI

Related Medical Group Inc

  • Psychiatry Physician
  • Homestead, FL
National Provider Identifier
1619634136
Registry record updated Feb 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
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

Updated by the provider on Feb 25, 2022

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

Authorized official

Name
Rafael Ramon Fernandez, APRNNPI 1073197794
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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20220307002615 FL Part B Supplier - Clinic/Group Practice 2365836467 Receives reassigned benefits from 2 practitioners
Practice locations: Homestead, FL

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.