Organization Active NPI

Jags Medical Office Inc

  • General Practice Physician
  • Miami, FL
National Provider Identifier
1639493158
Registry record updated Sep 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
JAGS MEDICAL OFFICE INC
Doing business as
JAGS Medical
Practice address
8748 SW 8TH St
Miami, FL 33174-3201
Phone
(305) 220-2338
Fax
(305) 223-1210
NPI assigned
Mar 26, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2014

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

Authorized official

Name
Mrs. Violeta L Chacon
Title
Director/General Manager
Phone
(305) 220-2338

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208D00000X FL Primary

Addresses

Primary practice location

8748 SW 8TH St
Miami, FL 33174-3201

Mailing address

8420 SW 21St St
Miami, FL 33155-1029
Phone (305) 220-2338

Other identifiers 1

IdentifierTypeStateIssuer
010777400MedicaidFL

Other names 1

  • JAGS Medical Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1269561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409616000000",
    "number": "1639493158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8420 SW 21ST ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331551029",
            "telephone_number": "305-220-2338",
            "fax_number": "305-223-1210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8748 SW 8TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331743201",
            "telephone_number": "305-220-2338",
            "fax_number": "305-223-1210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAGS MEDICAL OFFICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-26",
        "last_updated": "2014-09-02",
        "status": "A",
        "authorized_official_last_name": "CHACON",
        "authorized_official_first_name": "VIOLETA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR/GENERAL MANAGER",
        "authorized_official_telephone_number": "305-220-2338",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010777400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JAGS Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2014; 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.