Organization Active NPI

Superior Medical Group, Corp.

  • Multi-Specialty Clinic/Center
  • Miami, FL
National Provider Identifier
1689622904
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
License
HCC3935 Issued in FL
Legal business name
SUPERIOR MEDICAL GROUP, CORP.
Practice address
4866 NW 7TH St
Miami, FL 33126-2102
Phone
(305) 460-9560
Fax
(305) 460-8985
NPI assigned
May 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Yiganis Teresa Santana
Title
President
Phone
(305) 460-9560

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X HCC3935 FL Primary

Addresses

Primary practice location

4866 NW 7TH St
Miami, FL 33126-2102

Mailing address

4866 NW 7TH St
Miami, FL 33126-2102
Phone (305) 460-9560

National Provider Directory

National Provider Directory

Locations

4866 NW 7th St
Miami, FL 33126
Phone (786) 536-4532

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689622904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4866 NW 7TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331262102",
            "telephone_number": "305-460-9560",
            "fax_number": "305-460-8985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4866 NW 7TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331262102",
            "telephone_number": "305-460-9560",
            "fax_number": "305-460-8985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR MEDICAL GROUP, CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SANTANA",
        "authorized_official_first_name": "YIGANIS",
        "authorized_official_middle_name": "TERESA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-460-9560"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "FL",
            "license": "HCC3935",
            "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 Aug 22, 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.