Organization Active NPI

Rosenberg Clinic

  • Clinic/Center
  • Miami Gardens, FL
National Provider Identifier
1942506993
Registry record updated Feb 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
MM 26100 Issued in FL
Legal business name
ROSENBERG CLINIC
Practice address
5190 NW 167TH St
Suite222
Miami Gardens, FL 33014-6328
Phone
(305) 624-0746
Fax
(305) 624-0749
NPI assigned
Feb 8, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2011

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

Authorized official

Name
Ariel Gonzalez, MM
Title
Owner
Phone
(305) 624-0746

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X MM 26100 FL Primary

Addresses

Primary practice location

5190 NW 167TH St
Suite222
Miami Gardens, FL 33014-6328

Mailing address

5190 NW 167TH St
Suite222
Miami Gardens, FL 33014-6328
Phone (305) 624-0746

National Provider Directory

National Provider Directory

Locations

5190 NW 167th St
Ste 222
Miami Lakes, FL 33014
Phone (305) 624-0746

NPI Registry JSON

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

{
    "created_epoch": "1297123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297123200000",
    "number": "1942506993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5190 NW 167TH ST",
            "address_2": "SUITE222",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330146328",
            "telephone_number": "305-624-0746",
            "fax_number": "305-624-0749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5190 NW 167TH ST",
            "address_2": "SUITE222",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330146328",
            "telephone_number": "305-624-0746",
            "fax_number": "305-624-0749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSENBERG CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-08",
        "last_updated": "2011-02-08",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "ARIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-624-0746",
        "authorized_official_credential": "MM"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "MM 26100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.