Island Clinic of Key Biscayne LLC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

ME0045129 Issued in FL

Legal business name

ISLAND CLINIC OF KEY BISCAYNE LLC

Practice address

967 Crandon Blvd
Key Biscayne, FL 33149-2753

Phone

(305) 365-8222

Fax

(305) 365-8299

NPI assigned

Nov 1, 2006

Last updated

Oct 10, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Carmen J Ortiz Butcher, MDNPI 1144321829

Title

Chairman

Phone

(305) 365-8222

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Carmen J. Ortiz-Butcher, M.D.

  • Nephrology Physician
  • Key Biscayne, FL
  • NPI 1144321829
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191974400000",
    "number": "1871670489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 491433",
            "city": "KEY BISCAYNE",
            "state": "FL",
            "postal_code": "331497433",
            "telephone_number": "305-365-8222",
            "fax_number": "305-365-8299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "967 CRANDON BLVD",
            "city": "KEY BISCAYNE",
            "state": "FL",
            "postal_code": "331492753",
            "telephone_number": "305-365-8222",
            "fax_number": "305-365-8299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND CLINIC OF KEY BISCAYNE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-10-10",
        "status": "A",
        "authorized_official_last_name": "ORTIZ BUTCHER",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "305-365-8222",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME0045129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marianne J. Howett, LMHC
• Maria Cristina Ramirez Hubbard, M.D.
• Illustradent Key Biscayne PLLC
• Inspire Behavior Services Corp
• Integrating Bodies (Key Biscayne Counseling)
• Jaller Raad Inc
• Jean Pierre Chacon, PA
• Herbert Kean, MD
• Susan Kelso, LMT, EST
• Hamid Reza Keshvari Rasti, MD

• Nephrology Physician in Key Biscayne, FL
• Providers in Key Biscayne, FL by specialty
• Nephrology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.