MGM Outpatient Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MGM OUTPATIENT INC

Practice address

2450 SW 137TH Ave Ste 206
Miami, FL 33175-6312

Phone

(786) 409-3651

NPI assigned

Jan 3, 2020

Organization subpart

No

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

Authorized official

Name

Nelson Ramirez-Gonzalez

Title

President

Phone

(786) 409-3651

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1578009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578009600000",
    "number": "1659910925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 SW 137TH AVE STE 206",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331756312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 SW 137TH AVE STE 206",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331756312",
            "telephone_number": "786-409-3651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MGM OUTPATIENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-03",
        "last_updated": "2020-01-03",
        "certification_date": "2020-01-03",
        "status": "A",
        "authorized_official_last_name": "RAMIREZ-GONZALEZ",
        "authorized_official_first_name": "NELSON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-409-3651"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• MG Therapeutic Rehabilitation Corp
• MG West Medical Supplies Corp
• MGL Therapy Services LLC
• MGM Dental PA
• MGM Medical Services Inc
• MGM Pharmacy & Discount Corp
• MGM Therapy Services LLC
• MGR Garcia Services LLC
• MGR Home #2 Inc
• MGR Home Inc

• Family Medicine Physician in Miami, FL
• Providers in Miami, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2020; 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.