Organization Active NPI

Dacris Practitioner Sercices Inc

  • Oncology Registered Nurse
  • Miami, FL
National Provider Identifier
1699063388
Registry record updated Jul 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oncology Registered NurseTaxonomy code 163WX0200X
License
9229298 Issued in FL
Legal business name
DACRIS PRACTITIONER SERCICES INC
Practice address
10651 N Kendall Dr
Ste 117
Miami, FL 33176-1569
Phone
(305) 279-8187
Fax
(305) 279-8194
NPI assigned
Jul 14, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2011

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

Authorized official

Name
Miss Lludivina Vigil, ANP-BC
Title
President
Phone
(305) 279-8187

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oncology Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WX0200X 9229298 FL Primary

Addresses

Primary practice location

10651 N Kendall Dr
Ste 117
Miami, FL 33176-1569

Mailing address

10651 N Kendall Dr
Ste 117
Miami, FL 33176-1569
Phone (305) 279-8187

Other identifiers 1

IdentifierTypeStateIssuer
9229298OtherFLANP LICENSE

National Provider Directory

National Provider Directory
Tax ID family
Dacris Health Practitioners Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

10651 N Kendall Dr
Ste 117
Miami, FL 33176
Phone (305) 279-8187

NPI Registry JSON

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

{
    "created_epoch": "1310601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310601600000",
    "number": "1699063388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10651 N KENDALL DR",
            "address_2": "STE 117",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331761569",
            "telephone_number": "305-279-8187",
            "fax_number": "305-279-8194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10651 N KENDALL DR",
            "address_2": "STE 117",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331761569",
            "telephone_number": "305-279-8187",
            "fax_number": "305-279-8194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DACRIS PRACTITIONER SERCICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-14",
        "last_updated": "2011-07-14",
        "status": "A",
        "authorized_official_last_name": "VIGIL",
        "authorized_official_first_name": "LLUDIVINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-279-8187",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "ANP-BC"
    },
    "taxonomies": [
        {
            "code": "163WX0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Oncology",
            "state": "FL",
            "license": "9229298",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANP LICENSE",
            "identifier": "9229298",
            "state": "FL"
        }
    ],
    "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 Jul 14, 2011; 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.