Active NPI
Jags Medical Office Inc
- General Practice Physician
- Miami, FL
National Provider Identifier
1639493158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010777400 | Medicaid | FL |
Other names 1
- JAGS Medical
National Provider Directory
National Provider DirectoryNPI 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.