MLL Podiatry LLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

PO3849 Issued in FL

Legal business name

MLL PODIATRY LLC

Practice address

7031 SW 62ND Ave
South Miami, FL 33143-4701

Phone

(305) 520-9154

NPI assigned

Nov 2, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Mary Lopez

Title

Ceo

Phone

(305) 520-9154

Specialties & licenses 1

Addresses

Networks

• HealthSun Health Plans Network

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

{
    "created_epoch": "1478044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556064000000",
    "number": "1629520911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15476 NW 77TH CT # 113",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330165823",
            "telephone_number": "305-520-9154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7031 SW 62ND AVE",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331434701",
            "telephone_number": "305-520-9154"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14162 NW 87th Ct",
            "address_purpose": "LOCATION",
            "city": "Miami Lakes",
            "state": "FL",
            "postal_code": "330187370",
            "country_code": "US",
            "telephone_number": "786-302-8894",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MLL PODIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-02",
        "last_updated": "2019-04-24",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "305-520-9154",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO3849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adriana Miranda
• Cindy Rynor Miranda, D.O.M.
• Damaris Miranda, M.D.
• Leslie Miranda
• Neil Miransky, D.O.
• Maureen Lee Moder, MS, PT
• Nicole Moenck
• Nadine Aliya Mohamed, MD
• Juwairiah Mohammad
• Lissette Molina, M.D.

• Foot & Ankle Surgery Podiatrist in South Miami, FL
• Providers in South Miami, FL by specialty
• Foot & Ankle Surgery Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2019; 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.