Executive Health of Coral Gables LC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

EXECUTIVE HEALTH OF CORAL GABLES LC

Practice address

283 Catalonia Ave
Suite 101
Coral Gables, FL 33134-6712

Phone

(305) 476-7771

NPI assigned

Jul 17, 2006

Organization subpart

No

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

Authorized official

Name

Alberto A Mitrani, M.D.NPI 1447217005

Title

Manager

Phone

(305) 476-7771

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/3ed38101-a312-4a4c-8cad-0627a5c63d9e/

Practitioners 2

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

• Manuel Jesus Diaz, MD

  • Specialist
  • South Miami, FL
  • NPI 1689659062
  Medicare reassignment NPD
• Alberto Armando Mitrani, M.D.

  • Internal Medicine Physician
  • Coral Gables, FL
  • NPI 1447217005
  NPD (past) Authorized official

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192060800000",
    "number": "1639196298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "283 CATALONIA AVE",
            "address_2": "SUITE 101",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331346712",
            "telephone_number": "305-476-7771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "283 CATALONIA AVE",
            "address_2": "SUITE 101",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331346712",
            "telephone_number": "305-476-7771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXECUTIVE HEALTH OF CORAL GABLES LC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-10-11",
        "status": "A",
        "authorized_official_last_name": "MITRANI",
        "authorized_official_first_name": "ALBERTO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "305-476-7771",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Coral Gables, FL
• Providers in Coral Gables, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; 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.