Millenium Medical Group Corp

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

MILLENIUM MEDICAL GROUP CORP

Practice address

2720 SW 97TH Ave Ste C105
Miami, FL 33165-2677

Phone

(786) 332-4330

Fax

(305) 381-0135

NPI assigned

Sep 1, 2021

Organization subpart

No

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

Authorized official

Name

Mrs. Damarys Suarez Quiriello

Title

President

Phone

(786) 332-4330

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

• Millenium Medical Group & CMHC Doing business as
• Millenium Medical Group & CMHC Corp Doing business as

Electronic endpoints 1

Tax ID family

Millenium Medical Group Corp3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Millenium Medical Group Corp.

  • Adult Medicine Physician
  • Miami, FL
  • NPI 1093287377
  NPD tax ID
• Millenium Medical Group Corp.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Miami, FL
  • NPI 1629585906
  NPD tax ID

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

{
    "created_epoch": "1630454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630454400000",
    "number": "1659049963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2720 SW 97TH AVE STE C105",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331652677",
            "telephone_number": "786-332-4330",
            "fax_number": "305-381-0135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2720 SW 97TH AVE STE C105",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331652677",
            "telephone_number": "786-332-4330",
            "fax_number": "305-381-0135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLENIUM MEDICAL GROUP CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-01",
        "last_updated": "2021-09-01",
        "certification_date": "2021-09-01",
        "status": "A",
        "authorized_official_last_name": "SUAREZ QUIRIELLO",
        "authorized_official_first_name": "DAMARYS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-332-4330",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107892800",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "milleniummedicalgroup@gmail.com",
            "affiliation": "N",
            "address_1": "2720 SW 97th Ave Ste C105",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331652677",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Millenium Medical Group & CMHC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Millenium Medical Group & CMHC Corp",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Millenium Health and Therapy Center
• Millenium Home Health Services, Inc.
• Millenium Medical Center Inc
• Millenium Medical Center Inc.
• Millenium Medical Center, Corp
• Millenium Medical Group Corp.
• Millenium Medical Group Corp.
• Millenium Medical Group, Corp.
• Millenium Medical Supply, Inc
• Millenium Pharmacy Inc

• Case Management Agency in Miami, FL
• Providers in Miami, FL by specialty
• Case Management Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2021; 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.