University of Miami
Organization Active NPI Nephrology Physician · Miami, FL
NPI 1760434286 · NPPES record last updated Dec 31, 2019
Key facts
- NPI
- 1760434286
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Nephrology Physician 207RN0300X
- Legal business name
- UNIVERSITY OF MIAMI
- Practice address
- 1611 NW 12TH Ave
Box 016960 M851
Miami, FL 33136-1005 - Phone
- (305) 243-7688
- Fax
- (305) 243-8470
- NPI assigned
- May 16, 2006
- Organization subpart
- No
Authorized official
- Name
- Cesia A Sanchez
- Title
- Provider Enrollment Manager
- Phone
- (305) 243-6837
Corporate family (same tax ID) 24
Practitioners 19
-
Alnerys Andino, AARNP
-
Warren L Kupin, MD
-
Victor E. Prado, MD
-
Martha Rostran, A.R.N.P.
-
Shobana Sivan, MD
-
Glenda Sosa, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200406001006 | FL | Part B Supplier - Clinic/Group Practice | 3274795109 |
Receives reassigned benefits from 3,555 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
- Tax ID family
- Umdc
Locations
1489 W Palmetto Park Rd
Fl 1
Boca Raton, FL 33486
3848 Fau Blvd
Fl 1
Boca Raton, FL 33431
Phone (786) 266-1883
5550 W Flagler St
Ste 1452
Coral Gables, FL 33134
2561 Coral Way
Miami, FL 33145
Phone (305) 860-8111
1295 NW 14th St
Ste K
Miami, FL 33125
Phone (305) 534-4940
1450 NW 10th Ave
Ste 1006
Miami, FL 33136
Phone (305) 243-3498
1120 NW 14th St
Fl 7
Miami, FL 33136
15600 NW 15th Ave
Miami, FL 33169
1250 NW 7th Ave
Ste 106
Miami, FL 33136
11440 NW 7th Ave
Miami, FL 33168
Phone (305) 756-4400
870 NE 125th St
North Miami, FL 33161
Phone (305) 893-7887
860 NE 125th St
North Miami, FL 33161
Phone (305) 893-7887
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician |
207RN0300X | Yes |
Addresses
Primary practice location
1611 NW 12TH Ave
Box 016960 M851
Miami, FL 33136-1005
Mailing address
1611 NW 12TH Ave
Box 016960 M851
Miami, FL 33136-1005
Phone (305) 243-7688
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0606626-00 | Medicaid | FL |
Other names
- UMiami Medicine - Nephrology
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All providers in Miami, FL · Nephrology Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 31, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.