Active NPI
South Medical Care Inc
- Nephrology Physician
- Miami, FL
National Provider Identifier
1811233935
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- Legal business name
- SOUTH MEDICAL CARE INC
- Practice address
- 15190 SW 136TH St Ste 30
Miami, FL 33196-2618 - Phone
- (786) 523-4646
- NPI assigned
- Dec 18, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Frank Ruiz-Pando
- Title
- President/Ceo
- Phone
- (786) 523-4646
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | FL | Primary |
Addresses
Primary practice location
15190 SW 136TH St Ste 30
Miami, FL 33196-2618
Mailing address
15190 SW 136TH St Ste 30
Miami, FL 33196-2618
Phone (786) 523-4646
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P12000091953 | Other | FL | COMMERCIAL |
National Provider Directory
National Provider DirectoryLocations
15190 SW 136th St
Ste 30
Miami, FL 33196
Phone (786) 523-4646
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355788800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1355788800000",
"number": "1811233935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15190 SW 136TH ST STE 30",
"city": "MIAMI",
"state": "FL",
"postal_code": "331962618",
"telephone_number": "786-523-4646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15190 SW 136TH ST STE 30",
"city": "MIAMI",
"state": "FL",
"postal_code": "331962618",
"telephone_number": "786-523-4646"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTH MEDICAL CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2012-12-18",
"last_updated": "2012-12-18",
"status": "A",
"authorized_official_last_name": "RUIZ-PANDO",
"authorized_official_first_name": "FRANK",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "786-523-4646"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Nephrology",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMERCIAL",
"identifier": "P12000091953",
"state": "FL"
}
],
"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 Dec 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.