Organization Active NPI

South Florida US Management Inc

  • Clinic/Center
  • Miami, FL
National Provider Identifier
1912371675
Registry record updated Dec 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
HCC10498 Issued in FL
Legal business name
SOUTH FLORIDA US MANAGEMENT INC
Practice address
6850 Coral Way
Ste 204
Miami, FL 33155-1758
Phone
(786) 773-2558
Fax
(305) 938-5003
NPI assigned
Nov 18, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2016

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

Authorized official

Name
Carlos Penalver
Title
President
Phone
(786) 493-5382

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X HCC10498 FL Primary

Addresses

Primary practice location

6850 Coral Way
Ste 204
Miami, FL 33155-1758

Mailing address

6850 Coral Way
Ste 204
Miami, FL 33155-1758
Phone (786) 773-2558

Other identifiers 1

IdentifierTypeStateIssuer
IO810AOtherFLMEDICARE PTAN

National Provider Directory

National Provider Directory

Locations

6850 Coral Way
Ste 204
Miami, FL 33155
Phone (305) 662-6272

NPI Registry JSON

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

{
    "created_epoch": "1447804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482364800000",
    "number": "1912371675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6850 CORAL WAY",
            "address_2": "STE 204",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331551758",
            "telephone_number": "786-773-2558",
            "fax_number": "305-938-5003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6850 CORAL WAY",
            "address_2": "STE 204",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331551758",
            "telephone_number": "786-773-2558",
            "fax_number": "305-938-5003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH FLORIDA US MANAGEMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-18",
        "last_updated": "2016-12-22",
        "status": "A",
        "authorized_official_last_name": "PENALVER",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-493-5382"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "HCC10498",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "IO810A",
            "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 Dec 22, 2016; 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.