Active NPI
Nicomedes Machado
- Other Technician
- Miami, FL
National Provider Identifier
1649468000
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- License
- MA42665
- Practice address
- 9290 SW 72ND St
Suite 101
Miami, FL 33173-3236 - Phone
- (305) 273-9719
- Fax
- (305) 273-9796
- NPI assigned
- Oct 11, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Technician | 247200000X | MA42665 | FL | Primary |
Addresses
Primary practice location
9290 SW 72ND St
Suite 101
Miami, FL 33173-3236
Mailing address
4923 SW 147TH CT
Miami, FL 33185-4061
Phone (786) 246-2378
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA42665 | FL | MD | Other Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192060800000",
"number": "1649468000",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4923 SW 147TH CT",
"city": "MIAMI",
"state": "FL",
"postal_code": "331854061",
"telephone_number": "786-246-2378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9290 SW 72ND ST",
"address_2": "SUITE 101",
"city": "MIAMI",
"state": "FL",
"postal_code": "331733236",
"telephone_number": "305-273-9719",
"fax_number": "305-273-9796"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACHADO",
"first_name": "NICOMEDES",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-10-11",
"last_updated": "2007-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": "FL",
"license": "MA42665",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Oct 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.