Podocare Clinical Specialist Professional LLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

PODOCARE CLINICAL SPECIALIST PROFESSIONAL LLC

Practice address

2000 NW 87TH Ave Ste 217
Doral, FL 33172-2657

Phone

(305) 396-8731

Fax

(305) 396-8732

NPI assigned

Dec 17, 2020

Organization subpart

No

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

Authorized official

Name

Gregorio Caban, DPM

Title

President Admin

Phone

(305) 396-8731

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1608163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608163200000",
    "number": "1962098434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 NW 87TH AVE STE 217",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331722657",
            "telephone_number": "305-396-8731",
            "fax_number": "305-396-8732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 NW 87TH AVE STE 217",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331722657",
            "telephone_number": "305-396-8731",
            "fax_number": "305-396-8732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PODOCARE CLINICAL SPECIALIST PROFESSIONAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-17",
        "last_updated": "2020-12-17",
        "certification_date": "2020-12-17",
        "status": "A",
        "authorized_official_last_name": "CABAN",
        "authorized_official_first_name": "GREGORIO",
        "authorized_official_title_or_position": "PRESIDENT ADMIN",
        "authorized_official_telephone_number": "305-396-8731",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• PNS Woundcare Investment, LLC
• Podiatry Care Partners Inc
• Podiatry Network Solutions of Central Florida, LLC
• Podiatry Network Solutions of Florida, LLC
• Podiatry Network Solutions of South Florida, LLC
• Poh Doral LLC
• Lexus Poitier
• Yanet Polanco Rodriguez
• Aide Rose Polanco, SPEECH-LANGUAGE PATH
• Joel Luis Polanco, NP-C

• Foot & Ankle Surgery Podiatrist in Doral, FL
• Providers in Doral, FL by specialty
• Foot & Ankle Surgery Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2020; 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.