Organization Active NPI

Miami Cardiovascular Services LLC

  • Cardiovascular Disease Physician
  • Coral Gables, FL
National Provider Identifier
1821237892
Registry record updated Feb 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME 49087 Issued in FL
Legal business name
MIAMI CARDIOVASCULAR SERVICES LLC
Practice address
3181 Coral Way
6TH Floor
Coral Gables, FL 33145-3216
Phone
(786) 497-2710
Fax
(786) 497-2711
NPI assigned
Feb 13, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2009

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

Authorized official

Name
Dr. Ildefonso Jose Mas, MDNPI 1184697195
Title
Owner
Phone
(786) 497-2710

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X ME 49087 FL Primary

Addresses

Primary practice location

3181 Coral Way
6TH Floor
Coral Gables, FL 33145-3216

Mailing address

3181 Coral Way
6TH Floor
Miami, FL 33145
Phone (786) 497-2710

Other identifiers 1

IdentifierTypeStateIssuer
ME 49087OtherFLMEDICAL LICENSE NUMBER

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1234483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235433600000",
    "number": "1821237892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3181 CORAL WAY",
            "address_2": "6TH FLOOR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33145",
            "telephone_number": "786-497-2710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3181 CORAL WAY",
            "address_2": "6TH FLOOR",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331453216",
            "telephone_number": "786-497-2710",
            "fax_number": "786-497-2711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIAMI CARDIOVASCULAR SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-13",
        "last_updated": "2009-02-24",
        "status": "A",
        "authorized_official_last_name": "MAS",
        "authorized_official_first_name": "ILDEFONSO",
        "authorized_official_middle_name": "JOSE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-497-2710",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME 49087",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE NUMBER",
            "identifier": "ME 49087",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2009; 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.