Active NPI
Nova Medical Services - ER Division LLC
- Emergency Medicine Physician
- Miami, FL
National Provider Identifier
1700690641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- NOVA MEDICAL SERVICES - ER DIVISION LLC
- Practice address
- 11420 N Kendall Dr Ste 206
Miami, FL 33176-1039 - Phone
- (786) 715-9183
- Fax
- (786) 713-1115
- NPI assigned
- Feb 3, 2025
- 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
- Dr. Ivan Dario Canas Jr., DNP, MBA
- Title
- Ceo
- Phone
- (786) 715-9183
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | Primary |
Addresses
Primary practice location
11420 N Kendall Dr Ste 206
Miami, FL 33176-1039
Mailing address
11420 N Kendall Dr Ste 206
Miami, FL 33176-1039
Phone (786) 715-9183
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Miami, FL
- NPI 1649567421
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1738540800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1738540800000",
"number": "1700690641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11420 N KENDALL DR STE 206",
"city": "MIAMI",
"state": "FL",
"postal_code": "331761039",
"telephone_number": "786-715-9183",
"fax_number": "786-713-1115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11420 N KENDALL DR STE 206",
"city": "MIAMI",
"state": "FL",
"postal_code": "331761039",
"telephone_number": "786-715-9183",
"fax_number": "786-713-1115"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NOVA MEDICAL SERVICES - ER DIVISION LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-02-03",
"last_updated": "2025-02-03",
"certification_date": "2025-02-03",
"status": "A",
"authorized_official_last_name": "CANAS",
"authorized_official_first_name": "IVAN",
"authorized_official_middle_name": "DARIO",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "786-715-9183",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "DNP, MBA"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
- Nova Medical Office LLC
- Nova Medical Services - Anesthesiology Division LLC
- Nova Medical Services - Cardiology Division LLC
- Nova Medical Services - Dermatology Division LLC
- Nova Medical Services - Endocrinology Division LLC
- Nova Medical Services - Id Division LLC
- Nova Medical Services - Podiatry Division LLC
- Nova Medical Services - Pulmonary & Critical Care Division LLC
- Nova Medical Services - Research Division LLC
- Nova Medical Services - Specialties Division LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.