Organization Active NPI

Onyx Medical Group Inc

  • Health Service Clinic/Center
  • Miami, FL
National Provider Identifier
1770001570
Registry record updated Feb 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
ONYX MEDICAL GROUP INC
Practice address
1313 NW 36TH St Ste 100
Miami, FL 33142-5581
Phone
(305) 954-5626
Fax
(305) 964-5684
NPI assigned
Sep 1, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2022

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

Authorized official

Name
Ortelio Rodriguez Torres
Title
Owner
Phone
(305) 979-6178

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Rehabilitation Occupational TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225XP0019X
Health Service Clinic/Center 261QH0100X Primary
Physical Therapy Clinic/Center 261QP2000X
Sleep Disorder Diagnostic Clinic/Center 261QS1200X

Addresses

Primary practice location

1313 NW 36TH St Ste 100
Miami, FL 33142-5581

Mailing address

1313 NW 36TH St Ste 100
Miami, FL 33142-5581
Phone (305) 954-5626

Other identifiers 1

IdentifierTypeStateIssuer
024437500MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180904002887 FL Part B Supplier - Clinic/Group Practice 8820348337 Receives reassigned benefits from 2 practitioners
Practice locations: Miami, FL

National Provider Directory

National Provider Directory
Tax ID family
Onyx Medical Group 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

1821 SW 27th Ave
Miami, FL 33145
Phone (305) 588-7646

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1504224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645488000000",
    "number": "1770001570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 NW 36TH ST STE 100",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331425581",
            "telephone_number": "305-954-5626",
            "fax_number": "305-964-5684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 NW 36TH ST STE 100",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331425581",
            "telephone_number": "305-954-5626",
            "fax_number": "305-964-5684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONYX MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-01",
        "last_updated": "2022-02-22",
        "certification_date": "2022-01-27",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ TORRES",
        "authorized_official_first_name": "ORTELIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-979-6178"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "024437500",
            "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 Feb 22, 2022; 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.

Verify at the official NPI Registry.