Medvaro LLC

Primary specialty

Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X

Legal business name

MEDVARO LLC

Practice address

1715 11TH Ave S Ste B
Birmingham, AL 35205-4704

Phone

(205) 837-3339

NPI assigned

Jun 17, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Scott Garcia

Title

Coo

Phone

(205) 837-3339

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1655424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655424000000",
    "number": "1932830304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11131",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352021131",
            "telephone_number": "205-837-3339",
            "fax_number": "205-707-2552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 11TH AVE S STE B",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352054704",
            "telephone_number": "205-837-3339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDVARO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-17",
        "last_updated": "2022-06-17",
        "certification_date": "2022-06-17",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "205-837-3339",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.medvaro.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "address_1": "1715 11th Ave S Ste B",
            "city": "Birmingham",
            "state": "AL",
            "country_code": "US",
            "postal_code": "352054704",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2022; 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.