Organization Active NPI

Era Medical Group Inc

  • Specialist
  • Miami, FL
National Provider Identifier
1902859879
Registry record updated Apr 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
ERA MEDICAL GROUP INC
Practice address
175 Fountainbleau Blvd
Suite 2a
Miami, FL 33172-7018
Phone
(305) 207-1030
Fax
(305) 207-1080
NPI assigned
May 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2009

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

Authorized official

Name
Ernesto Carballo
Title
President
Phone
(305) 207-1030

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X FL Primary

Addresses

Primary practice location

175 Fountainbleau Blvd
Suite 2a
Miami, FL 33172-7018

Mailing address

175 Fountainbleau Blvd
Suite 2a
Miami, FL 33172-7018
Phone (305) 207-1030

National Provider Directory

National Provider Directory

Locations

1835 W Flagler St
#4
Miami, FL 33135
Phone (305) 644-4986

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239753600000",
    "number": "1902859879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 FOUNTAINBLEAU BLVD",
            "address_2": "SUITE 2A",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331727018",
            "telephone_number": "305-207-1030",
            "fax_number": "305-207-1080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 FOUNTAINBLEAU BLVD",
            "address_2": "SUITE 2A",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331727018",
            "telephone_number": "305-207-1030",
            "fax_number": "305-207-1080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERA MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2009-04-15",
        "status": "A",
        "authorized_official_last_name": "CARBALLO",
        "authorized_official_first_name": "ERNESTO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-207-1030"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "FL",
            "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 Apr 15, 2009; 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.