Organization Active NPI

Denise Erdem M D PA

  • Internal Medicine Physician
  • Coral Gables, FL
National Provider Identifier
1780807024
Registry record updated Nov 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME 81823 Issued in FL
Legal business name
DENISE ERDEM M D PA
Practice address
2030 Douglas Road
Suite 201
Coral Gables, FL 33134
Phone
(305) 666-2676
Fax
(305) 666-3196
NPI assigned
Apr 11, 2007
Last updated
Nov 14, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2007

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

Authorized official

Name
Denise Erdem, MDNPI 1881680908
Title
Owner
Phone
(305) 666-2676

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME 81823 FL Primary

Addresses

Primary practice location

2030 Douglas Road
Suite 201
Coral Gables, FL 33134

Mailing address

5900 SW 114 Terrace
Pinecrest, FL 33156
Phone (305) 666-2676

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194998400000",
    "number": "1780807024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 SW 114 TERRACE",
            "city": "PINECREST",
            "state": "FL",
            "postal_code": "33156",
            "telephone_number": "305-666-2676",
            "fax_number": "305-666-3196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 DOUGLAS ROAD",
            "address_2": "SUITE 201",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "33134",
            "telephone_number": "305-666-2676",
            "fax_number": "305-666-3196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENISE ERDEM M D PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2007-11-14",
        "status": "A",
        "authorized_official_last_name": "ERDEM",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-666-2676",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME 81823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2007; 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.