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MIRAMAR PAIN MEDICINE PA NPI 1154735058


NPI Information

NPI: 1154735058
Provider Name: MIRAMAR PAIN MEDICINE, PA
Classification: Pain Medicine - 208VP0014X
Entity Type: Organization

Specialization: Interventional Pain Medicine

Address:
1991 W 60TH ST
HIALEAH, FL
ZIP 33012
Phone: (305) 823-1808
Get Directions

MIRAMAR PAIN MEDICINE, PA is an interventional pain medicine pain medicine in Hialeah, FL. The provider is interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. MIRAMAR PAIN MEDICINE, PA NPI is 1154735058. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1991 W 60TH ST
HIALEAH, FL
ZIP 33012-504
Phone: (305) 823-1808
Fax: (305) 821-7186

The provider's authorized official is Ignacio J Rodriguez .
The authorized official title is President and has the following contact phone number (786) 295-8721.

The enumeration date for this NPI number is 6/18/2014 and was last updated on 4/23/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208VP0014XPain MedicineInterventional Pain MedicineME61654FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11386600708OTHERFLORIDANPI
2F43291MEDICARE UPINFLORIDA
3371365200MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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