Durban Medical Group

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

DURBAN MEDICAL GROUP

Practice address

1212 NW 79TH St
Miami, FL 33147-8209

Phone

(786) 703-9896

NPI assigned

Sep 22, 2020

Organization subpart

No

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

Authorized official

Name

Octavio Rodriguez

Title

Adm

Phone

(786) 641-1312

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1600732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609027200000",
    "number": "1760098099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 NW 79TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331478209",
            "telephone_number": "786-703-9896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 NW 79TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331478209",
            "telephone_number": "786-703-9896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DURBAN MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-22",
        "last_updated": "2020-12-27",
        "certification_date": "2020-12-27",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "OCTAVIO",
        "authorized_official_title_or_position": "ADM",
        "authorized_official_telephone_number": "786-641-1312"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Durandis
• Danielle Durante, M.S., CF-SLP
• Michael Durante, MD
• Daniel Duranza
• Daniela Durazo, LMHC
• Durga Mahankali
• Marlyn Durham, APRN
• Wesley Durham
• Alaina Durkac
• Marie Durogene

• Community/Behavioral Health Agency in Miami, FL
• Providers in Miami, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.