Med One Medical Management Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

3262 Issued in FL

Legal business name

MED ONE MEDICAL MANAGEMENT INC

Practice address

486 Fisherman St
Opa Locka, FL 33054-3818

Phone

(305) 688-5456

Fax

(305) 688-1661

NPI assigned

Sep 29, 2006

Organization subpart

No

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

Authorized official

Name

Pierre R Blemur, MDNPI 1730177098

Title

President

Phone

(305) 688-5456

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Med One Medical Center Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Networks

• HealthSun Health Plans Network

Practitioners 2

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

• Pierre R Blemur, MD

  • General Practice Physician
  • Opa Locka, FL
  • NPI 1730177098
  Medicare reassignment Authorized official
• Yana Nicole Blaise, RN, FNP

  • Family Nurse Practitioner
  • Opa Locka, FL
  • NPI 1083859789
  NPD (past)

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337558400000",
    "number": "1780776401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "486 FISHERMAN ST",
            "city": "OPA LOCKA",
            "state": "FL",
            "postal_code": "330543818",
            "telephone_number": "305-688-5456",
            "fax_number": "305-688-1661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "486 FISHERMAN ST",
            "city": "OPA LOCKA",
            "state": "FL",
            "postal_code": "330543818",
            "telephone_number": "305-688-5456",
            "fax_number": "305-688-1661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED ONE MEDICAL MANAGEMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2012-05-21",
        "status": "A",
        "authorized_official_last_name": "BLEMUR",
        "authorized_official_first_name": "PIERRE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-688-5456",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "3262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARMEN URIBE LICENSE",
            "identifier": "ME34811",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LAILA CHAGANI LICENSE",
            "identifier": "ME67381",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PIERRE BLEMUR LICENSE",
            "identifier": "ME45180",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Med One Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Milton Fernando Martinez, DMD
• Yinelys Martinez
• Libia Mas
• Geraldine Mattia, MD
• MBC Medical Supplies, Corp.
• Medchoice of Opalocka L L C
• Laisy Medina Garcia
• Medwell Equipments Corp.
• Mef Discount Corporation
• Samantha Daniela Mejia

• General Practice Physician in Opa Locka, FL
• Providers in Opa Locka, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.