Organization Active NPI

Kendall OB GYN Care, Inc

  • Specialist
  • Miami, FL
National Provider Identifier
1922210517
Registry record updated Sep 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
KENDALL OB GYN CARE, INC
Practice address
11760 SW 40 Street
Suite 518
Miami, FL 33175-3598
Phone
(305) 553-2888
Fax
(305) 553-0291
NPI assigned
May 4, 2007
Last updated
Sep 1, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2011

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

Authorized official

Name
Tomas I Marimon, MDNPI 1093730384
Title
President
Phone
(305) 553-2888

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
Specialist 174400000X Primary

Addresses

Primary practice location

11760 SW 40 Street
Suite 518
Miami, FL 33175-3598

Mailing address

11760 SW 40 Street
Suite 518
Miami, FL 33175-3598
Phone (305) 553-2888

Other identifiers 1

IdentifierTypeStateIssuer
064391200MedicaidFL

National Provider Directory

National Provider Directory

Locations

11760 SW 40th St
Ste 518
Miami, FL 33175
Phone (305) 332-9945

Practitioners & affiliated clinicians

Practitioners 2

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": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314835200000",
    "number": "1922210517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11760 SW 40 STREET",
            "address_2": "SUITE 518",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753598",
            "telephone_number": "305-553-2888",
            "fax_number": "305-553-0291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11760 SW 40 STREET",
            "address_2": "SUITE 518",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753598",
            "telephone_number": "305-553-2888",
            "fax_number": "305-553-0291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENDALL OB GYN CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2011-09-01",
        "status": "A",
        "authorized_official_last_name": "MARIMON",
        "authorized_official_first_name": "TOMAS",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-553-2888",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "064391200",
            "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 Sep 1, 2011; 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.