NPIMap

Organization Active NPI

Miami Medical Group, Inc.

  • Acupuncturist
  • Miami, FL
National Provider Identifier
1831229897
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
207Q00000X Issued in FL
Legal business name
MIAMI MEDICAL GROUP, INC.
Practice address
4505 W Flagler St
Suite 101
Miami, FL 33134-1500
Phone
(305) 445-0048
Fax
(305) 569-0071
NPI assigned
Mar 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Juan F. Jimenez, AP DOM
Title
Administrator
Phone
(305) 445-0068

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X 207Q00000X FL Primary

Addresses

Primary practice location

4505 W Flagler St
Suite 101
Miami, FL 33134-1500

Mailing address

4505 W Flagler St
Suite 101
Miami, FL 33134-1500
Phone (305) 445-0048

National Provider Directory

National Provider Directory
Tax ID family
Miami Medical Group Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831229897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4505 W FLAGLER ST",
            "address_2": "SUITE 101",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331341500",
            "telephone_number": "305-445-0048",
            "fax_number": "305-569-0071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4505 W FLAGLER ST",
            "address_2": "SUITE 101",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331341500",
            "telephone_number": "305-445-0048",
            "fax_number": "305-569-0071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIAMI MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "305-445-0068",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "AP DOM"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "207Q00000X",
            "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 Aug 22, 2020; 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.