NPIMap

Organization Active NPI

USA Medical Management Garden, LLC

  • Internal Medicine Physician
  • Miami, FL
National Provider Identifier
1881202620
Registry record updated Jul 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
USA MEDICAL MANAGEMENT GARDEN, LLC
Practice address
1380 NE Miami Gardens Dr Ste 132
Miami, FL 33179-4744
Phone
(305) 956-7755
Fax
(786) 446-7271
NPI assigned
Jul 17, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2020

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

Authorized official

Name
Ernesto Diaz
Title
Director
Phone
(305) 608-2948

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

1380 NE Miami Gardens Dr Ste 132
Miami, FL 33179-4744

Mailing address

1380 NE Miami Gardens Dr Ste 132
Miami, FL 33179-4744
Phone (305) 956-7755

Other identifiers 1

IdentifierTypeStateIssuer
L19000276773OtherFLLIMITED LIABILITY DOCUMENT

National Provider Directory

National Provider Directory

Locations

1380 NE Miami Gardens Dr
Ste 132
North Miami Beach, FL 33179
Phone (305) 956-7755

NPI Registry JSON

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

{
    "created_epoch": "1594944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594944000000",
    "number": "1881202620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 NE MIAMI GARDENS DR STE 132",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331794744",
            "telephone_number": "305-956-7755",
            "fax_number": "786-446-7271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 NE MIAMI GARDENS DR STE 132",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331794744",
            "telephone_number": "305-956-7755",
            "fax_number": "786-446-7271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USA MEDICAL MANAGEMENT GARDEN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-17",
        "last_updated": "2020-07-17",
        "certification_date": "2020-07-17",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "ERNESTO",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "305-608-2948"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIMITED LIABILITY DOCUMENT",
            "identifier": "L19000276773",
            "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 Jul 17, 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.