Organization Active NPI

Unique Medical Group of Florida, Corp

  • General Practice Physician
  • Hialeah, FL
National Provider Identifier
1679759732
Registry record updated Jan 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME97323 Issued in FL
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

Updated by the provider on Jan 18, 2008

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)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.