Ic Group-Medical LLC

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

Organization subpart

No

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

Specialties & licenses 1

Addresses

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": []
}

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• Primary Care Clinic/Center in Miami, FL
• Providers in Miami, FL by specialty
• Primary Care Clinic/Center in Florida

• 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.