Organization Active NPI

Salutem Medical Group, LLC

  • Adult Medicine Physician
  • Miami, FL
National Provider Identifier
1790392892
Registry record updated Apr 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
Legal business name
SALUTEM MEDICAL GROUP, LLC
Practice address
760 NW 107TH Ave Ste 300
Miami, FL 33172-3157
Phone
(305) 387-7740
Fax
(305) 387-7741
NPI assigned
Sep 23, 2020
Last updated
Apr 22, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2024

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

Authorized official

Name
Carlos Rodriguez, MD
Title
Owner
Phone
(786) 452-6858

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU
Adult Medicine Physician 207QA0505X NU Primary

Addresses

Primary practice location

760 NW 107TH Ave Ste 300
Miami, FL 33172-3157

Mailing address

760 NW 107TH Ave Ste 300
Miami, FL 33172-3157
Phone (305) 387-7740

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210304000368 FL Part B Supplier - Clinic/Group Practice 3678989399 Receives reassigned benefits from 3 practitioners
Practice locations: Miami, FL

National Provider Directory

National Provider Directory

Locations

13701 SW 88th St
Ste 300
Miami, FL 33186
Phone (786) 536-7217

13701 SW 88th St
Ste 306A
Miami, FL 33186

Practitioners & affiliated clinicians

Practitioners 4

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": "1600819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713744000000",
    "number": "1790392892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 NW 107TH AVE STE 300",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331723157",
            "telephone_number": "305-387-7740",
            "fax_number": "305-387-7741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 NW 107TH AVE STE 300",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331723157",
            "telephone_number": "305-387-7740",
            "fax_number": "305-387-7741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALUTEM MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-23",
        "last_updated": "2024-04-22",
        "certification_date": "2022-12-01",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-452-6858",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 22, 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.