Migrace Medical Practice PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

193694 Issued in NY

Legal business name

MIGRACE MEDICAL PRACTICE PC

Practice address

982 Columbus Ave
New York, NY 10025-2501

Phone

(212) 862-9046

NPI assigned

May 26, 2006

Last updated

Sep 9, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Miguel Avila-Rondon, MDNPI 1518936335

Title

Owner

Phone

(212) 862-9046

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

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

CLIA laboratory certificates

Locations

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.

• Miguel Avila-Rondon, MD

  • Internal Medicine Physician
  • New York, NY
  • NPI 1518936335
  Medicare reassignment Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631145600000",
    "number": "1811943228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1828",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100278801",
            "telephone_number": "212-862-9046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "982 COLUMBUS AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100252501",
            "telephone_number": "212-862-9046"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "599 W 190th St Ste 1",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100403577",
            "country_code": "US",
            "telephone_number": "212-866-5081",
            "fax_number": "866-449-5893",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MIGRACE MEDICAL PRACTICE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A",
        "authorized_official_last_name": "AVILA-RONDON",
        "authorized_official_first_name": "MIGUEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-862-9046",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "193694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Keith Migliore, MD
• Kevin Ronald Migliore, DPT
• Xiomara Amanda Migliorino, CASAC
• Camilla Mignucci, PA-C
• John Michael Migotsky, MD
• Miguel R. Hernandez MD, P.C.
• Jennifer Miguel, PT, DPT
• Ricardo Omar Miguel, D.D.S.
• Rossana Miguel
• Tiago Miguel, M.D.

• Specialist in New York, NY
• Providers in New York, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2021; 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.