NPIMap

Organization Active NPI

Body-Mind Medical Care

  • Health Service Clinic/Center
  • Miami, FL
National Provider Identifier
1922554823
Registry record updated Aug 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
ME88103 Issued in FL
Legal business name
BODY-MIND MEDICAL CARE
Practice address
3902 SW 144TH Ave
Miami, FL 33175-7813
Phone
(786) 320-2295
NPI assigned
Aug 30, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2016

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

Authorized official

Name
Dr. Ileana Margarita Rodicio, M.D.
Title
Owner
Phone
(786) 320-2295

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X ME88103 FL Primary

Addresses

Primary practice location

3902 SW 144TH Ave
Miami, FL 33175-7813

Mailing address

3902 SW 144TH Ave
Miami, FL 33175-7813
Phone (786) 320-2295

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1472515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472515200000",
    "number": "1922554823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3902 SW 144TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331757813",
            "telephone_number": "786-320-2295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3902 SW 144TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331757813",
            "telephone_number": "786-320-2295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY-MIND MEDICAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-30",
        "last_updated": "2016-08-30",
        "status": "A",
        "authorized_official_last_name": "RODICIO",
        "authorized_official_first_name": "ILEANA",
        "authorized_official_middle_name": "MARGARITA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-320-2295",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "FL",
            "license": "ME88103",
            "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 Aug 30, 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.