Medical Consultants of 107 Avenue

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

MEDICAL CONSULTANTS OF 107 AVENUE

Practice address

3701 SW 107TH Ave
Miami, FL 33165-3638

Phone

(786) 444-3876

Fax

(305) 229-3848

NPI assigned

Feb 25, 2009

Organization subpart

No

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

Authorized official

Name

Francisco L Padron, MD

Title

President

Phone

(786) 444-3876

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1235520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235520000000",
    "number": "1699915025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 SW 107TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331653638",
            "telephone_number": "786-444-3876",
            "fax_number": "305-229-3848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 SW 107TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331653638",
            "telephone_number": "786-444-3876",
            "fax_number": "305-229-3848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL CONSULTANTS OF 107 AVENUE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-25",
        "last_updated": "2009-02-25",
        "status": "A",
        "authorized_official_last_name": "PADRON",
        "authorized_official_first_name": "FRANCISCO",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-444-3876",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2009; 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.