Organization Active NPI

Biovision Medical LLC

  • Health Service Clinic/Center
  • Miami, FL
National Provider Identifier
1790541902
Registry record updated Feb 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
BIOVISION MEDICAL LLC
Practice address
13944 SW 8TH St Ste 216
Miami, FL 33184-3008
Phone
(305) 418-0600
NPI assigned
Feb 26, 2024
Last updated
Feb 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2024

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

Authorized official

Name
Juan Carlos Ruiz BergonNPI 1457968968
Title
Owner
Phone
(786) 250-7400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

13944 SW 8TH St Ste 216
Miami, FL 33184-3008

Mailing address

13944 SW 8TH St Ste 216
Miami, FL 33184-3008
Phone (305) 418-0600

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240402004401 FL Part B Supplier - Clinic/Group Practice 9032557590 Receives reassigned benefits from 2 practitioners
Practice locations: Miami, FL

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2258421Biovision Medical LLC13944 SW 8TH St Ste 216, Miami, FL 33184Certificate of waiverApr 20, 2028

National Provider Directory

National Provider Directory

Locations

13944 SW 8th St
Ste 216
Miami, FL 33184
Phone (305) 418-0600

Practitioners & affiliated clinicians

Practitioners 2

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": "1708905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708905600000",
    "number": "1790541902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13944 SW 8TH ST STE 216",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331843008",
            "telephone_number": "305-418-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13944 SW 8TH ST STE 216",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331843008",
            "telephone_number": "305-418-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIOVISION MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-26",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-25",
        "status": "A",
        "authorized_official_last_name": "RUIZ BERGON",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "CARLOS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-250-7400"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "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 Feb 26, 2024; 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.