Organization Active NPI

ENT Group, LLC

  • Plastic Surgery within the Head & Neck (Otolaryngology) Physician
  • Miami, FL
National Provider Identifier
1912779984
Registry record updated Oct 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianTaxonomy code 207YX0007X
Legal business name
ENT GROUP, LLC
Practice address
7190 SW 87TH Ave Ste 403
Miami, FL 33173-2512
Phone
(305) 456-0772
NPI assigned
Oct 24, 2023
Last updated
Oct 24, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
ENT GROUP, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 24, 2023

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

Authorized official

Name
Octavio De Jesus CarrenoNPI 1629039409
Title
Manager
Phone
(305) 859-0569

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Y00000X
Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207YX0007X Primary

Addresses

Primary practice location

7190 SW 87TH Ave Ste 403
Miami, FL 33173-2512

Mailing address

2400 SW 69TH Ave
Miami, FL 33155-2919
Phone (305) 859-0569

National Provider Directory

National Provider Directory
Tax ID family
ENT Group LLC2 organizations share this tax ID, including this one
Part of
ENT Group LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1698105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698105600000",
    "number": "1912779984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 SW 69TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331552919",
            "telephone_number": "305-859-0569",
            "fax_number": "305-859-0569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7190 SW 87TH AVE STE 403",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331732512",
            "telephone_number": "305-456-0772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENT GROUP, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ENT GROUP, LLC",
        "enumeration_date": "2023-10-24",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A",
        "authorized_official_last_name": "CARRENO",
        "authorized_official_first_name": "OCTAVIO",
        "authorized_official_middle_name": "DE JESUS",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "305-859-0569"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207YX0007X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "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 Oct 24, 2023; 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.