Healthnet Medical, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

HEALTHNET MEDICAL, LLC

Practice address

8660 W Flagler St
Suite 111
Miami, FL 33144-2031

Phone

(305) 753-9075

Fax

(305) 901-1716

NPI assigned

Apr 22, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Mike Richard Moya

Title

Credentialing

Phone

(305) 667-8007

Specialties & licenses 1

Addresses

Tax ID family

Healthnet Medical LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Healthnet Medical, LLC

  • Internal Medicine Physician
  • Miami, FL
  • NPI 1457774879
  NPD tax ID

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

{
    "created_epoch": "1398124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398124800000",
    "number": "1972923647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8660 W FLAGLER ST",
            "address_2": "SUITE 111",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331442031",
            "telephone_number": "305-753-9075",
            "fax_number": "305-901-1716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8660 W FLAGLER ST",
            "address_2": "SUITE 111",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331442031",
            "telephone_number": "305-753-9075",
            "fax_number": "305-901-1716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHNET MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-22",
        "last_updated": "2014-04-22",
        "status": "A",
        "authorized_official_last_name": "MOYA",
        "authorized_official_first_name": "MIKE",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "305-667-8007",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Miami, FL
• Providers in Miami, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2014; 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.