Active NPI
Ic Group-Medical LLC
- Primary Care Clinic/Center
- Miami, FL
National Provider Identifier
1811568959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- 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, 2022
- 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
- Ailyn Rodriguez Monzon, APRN
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryPractitioners & 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.
-
- Family Nurse Practitioner
- Miami, FL
- NPI 1578887824
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.