Miami Blu Sky Medical Center Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MIAMI BLU SKY MEDICAL CENTER INC

Practice address

85 Grand Canal Dr Ste 407
Miami, FL 33144-2571

Phone

(786) 409-4379

Fax

(786) 409-4217

NPI assigned

Jan 29, 2021

Organization subpart

No

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

Authorized official

Name

Alexeis Gonzalez Lacosta

Title

President

Phone

(786) 409-4379

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1611878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693872000000",
    "number": "1851982169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 GRAND CANAL DR STE 407",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331442571",
            "telephone_number": "786-409-4379",
            "fax_number": "786-409-4217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 GRAND CANAL DR STE 407",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331442571",
            "telephone_number": "786-409-4379",
            "fax_number": "786-409-4217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIAMI BLU SKY MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-29",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ LACOSTA",
        "authorized_official_first_name": "ALEXEIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-409-4379"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; 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.