Organization Active NPI

South Research Medical Inc

  • General Practice Physician
  • Miami, FL
National Provider Identifier
1821243023
Registry record updated Dec 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME51845 Issued in FL
Legal business name
SOUTH RESEARCH MEDICAL INC
Practice address
17250 SW 137TH Ave
Ste B
Miami, FL 33177-6405
Phone
(786) 488-0244
NPI assigned
Dec 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2008

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

Authorized official

Name
Yocis Nunez
Title
President
Phone
(786) 488-0244

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X ME51845 FL Primary

Addresses

Primary practice location

17250 SW 137TH Ave
Ste B
Miami, FL 33177-6405

Mailing address

17250 SW 137TH Ave
Ste B
Miami, FL 33177-6405
Phone (786) 488-0244

Other identifiers 1

IdentifierTypeStateIssuer
N/AOtherFLAHCA

National Provider Directory

National Provider Directory

Locations

17250 SW 137th Ave
Ste B
Miami, FL 33177
Phone (786) 488-0244

NPI Registry JSON

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

{
    "created_epoch": "1228176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228176000000",
    "number": "1821243023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17250 SW 137TH AVE",
            "address_2": "STE B",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331776405",
            "telephone_number": "786-488-0244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17250 SW 137TH AVE",
            "address_2": "STE B",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331776405",
            "telephone_number": "786-488-0244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH RESEARCH MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-02",
        "last_updated": "2008-12-02",
        "status": "A",
        "authorized_official_last_name": "NUNEZ",
        "authorized_official_first_name": "YOCIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-488-0244"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME51845",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA",
            "identifier": "N/A",
            "state": "FL"
        }
    ],
    "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 Dec 2, 2008; 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.