Miami Interventional Spine Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

MIAMI INTERVENTIONAL SPINE INC

Practice address

7910 NW 25TH St Ste 209
Doral, FL 33122-1622

Phone

(305) 392-0229

Fax

(786) 329-6519

NPI assigned

Nov 11, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Dayan Silva

Title

Owner/Administrator

Phone

(305) 392-0229

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 4

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

• Elvis Radhames Caraballo Antonio, MD

  • Internal Medicine Physician
  • Wellington, FL
  • NPI 1609516426
  Medicare reassignment Care Compare group NPD
• Lorenzo Ramon Riera, M.D

  • General Practice Physician
  • Coral Gables, FL
  • NPI 1336365246
  Medicare reassignment Care Compare group NPD
• Luisangel A Rondon Verenzuela, MD

  • Surgery Physician
  • Ocoee, FL
  • NPI 1457652836
  Medicare reassignment NPD
• Daniel Enrique Tejeda, MD

  • Internal Medicine Physician
  • Fort Pierce, FL
  • NPI 1932786886
  Medicare reassignment NPD

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

{
    "created_epoch": "1731283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731456000000",
    "number": "1780408476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7910 NW 25TH ST STE 209",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331221622",
            "telephone_number": "305-392-0229",
            "fax_number": "786-329-6519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7910 NW 25TH ST STE 209",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331221622",
            "telephone_number": "305-392-0229",
            "fax_number": "786-329-6519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIAMI INTERVENTIONAL SPINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-11",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A",
        "authorized_official_last_name": "SILVA",
        "authorized_official_first_name": "DAYAN",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "305-392-0229",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Miami Supreme Home Services, LLC
• Miami Surgery Center LLC
• Miami United Home Health Care, Inc.
• Stephanie Miceli

• Clinic/Center in Doral, FL
• Providers in Doral, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; 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.