Individual provider Active NPI

Guillermo J Rumbos

  • Ambulatory Surgical Clinic/Center
  • Miami, FL
National Provider Identifier
1992231070
Registry record updated Dec 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
ABSA 16-420 Issued in FL
Practice address
7190 SW 87TH Ave Ste 404
Miami, FL 33173-2512
Phone
(305) 692-0163
NPI assigned
May 10, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X ABSA 16-420 FL Primary

Addresses

Primary practice location

7190 SW 87TH Ave Ste 404
Miami, FL 33173-2512

Mailing address

8025 SW 100TH St
Miami, FL 33156-2523
Phone (786) 779-7676

Other practice location 1

2665 EXECUTIVE PARK Dr. UNIT 1
Weston, FL 33331
Phone (954) 446-6464

Other practice location 2

19495 Biscayne Blvd Ste 200
Miami, FL 33180-2319
Phone (305) 932-5557

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
ABSA 16-420FLMDAmbulatory Surgical Clinic/Center

NPI Registry JSON

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

{
    "created_epoch": "1494374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544659200000",
    "number": "1992231070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8025 SW 100TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331562523",
            "telephone_number": "786-779-7676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7190 SW 87TH AVE STE 404",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331732512",
            "telephone_number": "305-692-0163"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2665 EXECUTIVE PARK Dr. UNIT 1",
            "address_purpose": "LOCATION",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "33331",
            "country_code": "US",
            "telephone_number": "954-446-6464",
            "fax_number": "954-399-0056",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19495 Biscayne Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331802319",
            "country_code": "US",
            "telephone_number": "305-932-5557",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUMBOS",
        "first_name": "GUILLERMO",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-05-10",
        "last_updated": "2018-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "FL",
            "license": "ABSA 16-420",
            "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 Dec 13, 2018; 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.