Organization Active NPI

Columbus Clinical SVC LLC

  • General Practice Physician
  • Miami, FL
National Provider Identifier
1902856933
Registry record updated Mar 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
COLUMBUS CLINICAL SVC LLC
Practice address
15 SW 107TH Ave
Miami, FL 33174-1415
Phone
(305) 559-5759
Fax
(305) 559-5772
NPI assigned
May 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2014

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

Authorized official

Name
Maria V CanoNPI 1982246138
Title
Manager/Owner
Phone
(305) 559-5759

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

15 SW 107TH Ave
Miami, FL 33174-1415

Mailing address

15 SW 107TH Ave
Miami, FL 33174-1415
Phone (305) 559-5759

National Provider Directory

National Provider Directory

Locations

2720 SW 97th Ave
Apt 208
Miami, FL 33165
Phone (305) 225-7788

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395705600000",
    "number": "1902856933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 SW 107TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331741415",
            "telephone_number": "305-559-5759",
            "fax_number": "305-559-5772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 SW 107TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331741415",
            "telephone_number": "305-559-5759",
            "fax_number": "305-559-5772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBUS CLINICAL SVC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2014-03-25",
        "status": "A",
        "authorized_official_last_name": "CANO",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "MANAGER/OWNER",
        "authorized_official_telephone_number": "305-559-5759"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "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 Mar 25, 2014; 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.