Organization Active NPI

B Balanced Integrative Medicine

  • Health Service Clinic/Center
  • Miami, FL
National Provider Identifier
1952738676
Registry record updated Oct 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
10569 Issued in FL
Legal business name
B BALANCED INTEGRATIVE MEDICINE
Practice address
12039 SW 132ND CT Unit 28-5
Miami, FL 33186-4785
Phone
(305) 305-2757
Fax
(305) 385-1675
NPI assigned
Sep 27, 2013
Last updated
Oct 5, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2015

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

Authorized official

Name
Carmen S Gomez, P.ANPI 1861862708
Title
President
Phone
(305) 305-2757

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 10569 FL Primary

Addresses

Primary practice location

12039 SW 132ND CT Unit 28-5
Miami, FL 33186-4785

Mailing address

12039 SW 132ND CT Unit 28-5
Miami, FL 33186-4785
Phone (305) 305-2757

National Provider Directory

National Provider Directory

Locations

12039 SW 132nd Ct
Unit 285
Miami, FL 33186
Phone (305) 305-2757

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1380240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444003200000",
    "number": "1952738676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12039 SW 132ND CT UNIT 28-5",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331864785",
            "telephone_number": "305-305-2757",
            "fax_number": "305-385-1675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12039 SW 132ND CT UNIT 28-5",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331864785",
            "telephone_number": "305-305-2757",
            "fax_number": "305-385-1675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B BALANCED INTEGRATIVE MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-27",
        "last_updated": "2015-10-05",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-305-2757",
        "authorized_official_credential": "P.A"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "FL",
            "license": "10569",
            "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 Oct 5, 2015; 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.