Instituto Medico del Dolor LLC

Primary specialty

Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X

License

ME103915 Issued in FL

Legal business name

INSTITUTO MEDICO DEL DOLOR LLC

Practice address

717 Ponce de Leon Blvd Ste 218
Coral Gables, FL 33134-2048

Phone

(786) 536-9656

Fax

(786) 536-9653

NPI assigned

Feb 7, 2012

Organization subpart

No

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

Authorized official

Name

Kaveh Karandish, MD

Title

D

Phone

(786) 536-9656

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1328572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328572800000",
    "number": "1942572805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 PONCE DE LEON BLVD STE 218",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331342048",
            "telephone_number": "786-536-9656",
            "fax_number": "786-536-9653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 PONCE DE LEON BLVD STE 218",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331342048",
            "telephone_number": "786-536-9656",
            "fax_number": "786-536-9653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSTITUTO MEDICO DEL DOLOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-07",
        "last_updated": "2012-02-07",
        "status": "A",
        "authorized_official_last_name": "KARANDISH",
        "authorized_official_first_name": "KAVEH",
        "authorized_official_title_or_position": "D",
        "authorized_official_telephone_number": "786-536-9656",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "FL",
            "license": "ME103915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Comprehensive Outpatient Rehabilitation Facility (CORF) in Coral Gables, FL
• Providers in Coral Gables, FL by specialty
• Comprehensive Outpatient Rehabilitation Facility (CORF) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2012; 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.