Active NPI
Unique Medical Group of Florida, Corp
- General Practice Physician
- Hialeah, FL
National Provider Identifier
1679759732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- ME97323
- Legal business name
- UNIQUE MEDICAL GROUP OF FLORIDA, CORP
- Practice address
- 4410 W 16TH Ave
Suite 55
Hialeah, FL 33012-7100 - Phone
- (305) 512-0080
- Fax
- (305) 512-0083
- NPI assigned
- Jan 18, 2008
- 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
- Inti Fernandez, M.D.
- Title
- President
- Phone
- (305) 512-0080
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | ME97323 | FL | Primary |
Addresses
Primary practice location
4410 W 16TH Ave
Suite 55
Hialeah, FL 33012-7100
Mailing address
4410 W 16TH Ave
Suite 55
Hialeah, FL 33012-7100
Phone (305) 512-0080
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200614400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1200614400000",
"number": "1679759732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4410 W 16TH AVE",
"address_2": "SUITE 55",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330127100",
"telephone_number": "305-512-0080",
"fax_number": "305-512-0083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4410 W 16TH AVE",
"address_2": "SUITE 55",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330127100",
"telephone_number": "305-512-0080",
"fax_number": "305-512-0083"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNIQUE MEDICAL GROUP OF FLORIDA, CORP",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-18",
"last_updated": "2008-01-18",
"status": "A",
"authorized_official_last_name": "FERNANDEZ",
"authorized_official_first_name": "INTI",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "305-512-0080",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": "FL",
"license": "ME97323",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hialeah, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.