Active NPI
International Dermatology Research, Inc.
- Dermatology Physician
- Miami, FL
National Provider Identifier
1942855150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- Legal business name
- INTERNATIONAL DERMATOLOGY RESEARCH, INC.
- Practice address
- 8370 W Flagler St Ste 200
Miami, FL 33144-2038 - Phone
- (786) 294-3835
- Fax
- (305) 225-0450
- NPI assigned
- Aug 5, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Silvia A Trinidad
- Title
- Owner, Ceo, Cfo
- Phone
- (305) 225-0400
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | Primary | ||
| MOHS-Micrographic Surgery Physician | 207ND0101X | |||
| Clinical & Laboratory Dermatological Immunology Physician | 207NI0002X | |||
| Pediatric Dermatology Physician | 207NP0225X | |||
| Procedural Dermatology Physician | 207NS0135X |
Addresses
Primary practice location
8370 W Flagler St Ste 200
Miami, FL 33144-2038
Mailing address
8370 W Flagler St Ste 200
Miami, FL 33144-2038
Phone (786) 294-3835
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D0885659 | International Dermatology Research Inc | Compliance | May 1, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dermatology Physician
- Hollywood, FL
- NPI 1053308965
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564963200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1564963200000",
"number": "1942855150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8370 W FLAGLER ST STE 200",
"city": "MIAMI",
"state": "FL",
"postal_code": "331442038",
"telephone_number": "786-294-3835",
"fax_number": "305-225-0450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8370 W FLAGLER ST STE 200",
"city": "MIAMI",
"state": "FL",
"postal_code": "331442038",
"telephone_number": "786-294-3835",
"fax_number": "305-225-0450"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTERNATIONAL DERMATOLOGY RESEARCH, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2019-08-05",
"last_updated": "2019-08-05",
"status": "A",
"authorized_official_last_name": "TRINIDAD",
"authorized_official_first_name": "SILVIA",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER, CEO, CFO",
"authorized_official_telephone_number": "305-225-0400"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology",
"state": null,
"license": null,
"primary": true
},
{
"code": "207ND0101X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "207NI0002X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology, Clinical & Laboratory Dermatological Immunology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207NP0225X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology, Pediatric Dermatology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207NS0135X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology, Procedural Dermatology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
- Internal Medicine Group of South Florida
- Internal Medicine Institute of Florida, LLC
- International Center for Human Relations
- International Children Relief Fundation Corporation
- International Dental Clinic, PA
- International Healthcare Medical Corp
- International Home Care Services, Inc.
- International Integrative Therapy, LLC
- International J LLC
- International Medical Center Group LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.