Organization Active NPI

Iglesias Medical Enterprises, LLC

  • Cardiovascular Disease Physician
  • Coral Gables, FL
National Provider Identifier
1861769853
Registry record updated Nov 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME50021 Issued in FL
Legal business name
IGLESIAS MEDICAL ENTERPRISES, LLC
Practice address
5520 SW 8TH St
Coral Gables, FL 33134-2220
Phone
(305) 443-6051
Fax
(305) 567-9294
NPI assigned
Nov 19, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2011

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

Authorized official

Name
Dr. Carlos Iglesias, M.D.
Title
MGRM
Phone
(305) 443-6051

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RC0000X ME50021 FL Primary

Addresses

Primary practice location

5520 SW 8TH St
Coral Gables, FL 33134-2220

Mailing address

5520 S.W. 8TH St
Maimi, FL 33134-2220
Phone (305) 443-6051

Other identifiers 2

IdentifierTypeStateIssuer
45947000MedicaidFL
ME50021OtherFLMEDICAL LICENSE

National Provider Directory

National Provider Directory

Locations

5520 SW 8th St
Coral Gables, FL 33134
Phone (305) 443-6051

NPI Registry JSON

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

{
    "created_epoch": "1321660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321660800000",
    "number": "1861769853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5520 S.W. 8TH ST",
            "city": "MAIMI",
            "state": "FL",
            "postal_code": "331342220",
            "telephone_number": "305-443-6051",
            "fax_number": "305-567-9294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5520 SW 8TH ST",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331342220",
            "telephone_number": "305-443-6051",
            "fax_number": "305-567-9294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IGLESIAS MEDICAL ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-19",
        "last_updated": "2011-11-19",
        "status": "A",
        "authorized_official_last_name": "IGLESIAS",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "MGRM",
        "authorized_official_telephone_number": "305-443-6051",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME50021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "45947000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME50021",
            "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 Nov 19, 2011; 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.