Mia Donna LLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

MIA DONNA LLC

Practice address

7100 W 20TH Ave Ste 304
Hialeah, FL 33016-1812

Phone

(954) 885-5030

Fax

(954) 272-9026

NPI assigned

May 6, 2020

Organization subpart

No

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

Authorized official

Name

Ms. Olga Lucia Martinez, RNP

Title

Administrator

Phone

(786) 223-5369

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

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

• Miguel Eladio Martinez, M.D

  • Obstetrics & Gynecology Physician
  • Miramar, FL
  • NPI 1851458640
  Medicare reassignment NPD

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

{
    "created_epoch": "1588723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588723200000",
    "number": "1790306256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3122 SW 189TH AVE",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330295857",
            "telephone_number": "786-223-5369",
            "fax_number": "954-272-9026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 W 20TH AVE STE 304",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330161812",
            "telephone_number": "954-885-5030",
            "fax_number": "954-272-9026"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1951 SW 172nd Ave Ste 210",
            "address_purpose": "LOCATION",
            "city": "Miramar",
            "state": "FL",
            "postal_code": "330295613",
            "country_code": "US",
            "telephone_number": "954-885-5030",
            "fax_number": "954-272-9002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MIA DONNA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-06",
        "last_updated": "2020-05-06",
        "certification_date": "2020-05-06",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "OLGA",
        "authorized_official_middle_name": "LUCIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "786-223-5369",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RNP"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mi Universo Eres Solo Tu LLC
• Mia Esthetics
• Mia Mental Health Corp
• Mia Mobil Diagnostic Inc
• Miami Beach Healthcare Group, LTD.
• Miami Beach Medical Consultants LLC

• Obstetrics & Gynecology Physician in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Obstetrics & Gynecology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2020; 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.