Integral Medicine Group Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

INTEGRAL MEDICINE GROUP INC

Practice address

7500 SW 8TH St
Suite 303
Miami, FL 33144-4400

Phone

(305) 885-3111

Fax

(305) 885-5884

NPI assigned

Aug 10, 2006

Last updated

Sep 26, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Humberto Hernandez, MDNPI 1689647869

Title

Owner

Phone

(305) 885-3111

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

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.

• Humberto J Hernandez, M.D.

  • Internal Medicine Physician
  • Hialeah, FL
  • NPI 1689647869
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316995200000",
    "number": "1992716310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 111570",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330111570",
            "telephone_number": "305-885-3111",
            "fax_number": "305-885-5884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 SW 8TH ST",
            "address_2": "SUITE 303",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331444400",
            "telephone_number": "305-885-3111",
            "fax_number": "305-885-5884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRAL MEDICINE GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2011-09-26",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "HUMBERTO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-885-3111",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "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 Sep 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.