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MGM IPA DADE 001 LLC NPI 1619303112


NPI Information

NPI: 1619303112
Provider Name: MGM IPA DADE 001 LLC
Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
8318 SW 193RD ST
CUTLER BAY, FL
ZIP 33157
Phone: (305) 964-5119
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MGM IPA DADE 001 LLC is an internal medicine in Cutler Bay, FL. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. MGM IPA DADE 001 LLC NPI is 1619303112. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

8318 SW 193RD ST
CUTLER BAY, FL
ZIP 33157-085
Phone: (305) 964-5119

The provider's authorized official is Mario Armando Espino .
The authorized official title is Ceo/president and has the following contact phone number (786) 395-1165.

The enumeration date for this NPI number is 9/17/2013 and was last updated on 9/17/2013.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral PracticeNo
2302F00000XExclusive Provider OrganizationNo
3207R00000XInternal MedicineYes

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: 5/5/2024

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