Organization Active NPI

Ic Group-Medical LLC

  • Primary Care Clinic/Center
  • Miami, FL
National Provider Identifier
1811568959
Registry record updated Nov 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
IC GROUP-MEDICAL LLC
Practice address
2721 SW 137TH Ave Ste 117
Miami, FL 33175-6319
Phone
(786) 703-9954
NPI assigned
Jul 9, 2021
Last updated
Nov 17, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2022

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

Authorized official

Name
Ailyn Rodriguez Monzon, APRNNPI 1578887824
Title
Aprn
Phone
(786) 703-9954

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
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

2721 SW 137TH Ave Ste 117
Miami, FL 33175-6319

Mailing address

2721 SW 137TH Ave Ste 117
Miami, FL 33175-6319
Phone (786) 703-9954

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": "1625788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668643200000",
    "number": "1811568959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2721 SW 137TH AVE STE 117",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331756319",
            "telephone_number": "786-703-9954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2721 SW 137TH AVE STE 117",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331756319",
            "telephone_number": "786-703-9954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IC GROUP-MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-09",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-17",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ MONZON",
        "authorized_official_first_name": "AILYN",
        "authorized_official_title_or_position": "APRN",
        "authorized_official_telephone_number": "786-703-9954",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "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 Nov 17, 2022; 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.