Unknown Individual – Family Medicine Physician, NPI 1528032117

Unknown Individual is a healthcare provider. based in Miami, Florida. specializing in Family Medicine Physician. They hold a License No. ME28336 (FL). The NPI Number for Unknown Individual is 1528032117

Main info

Organization
Inactive
59 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1528032117
Phone
(305) 637-6400
Address
5607 NW 27TH AVE STE 1
Deactivation Date
13 September 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3056376400
Graduation Year
1967 (59 years ago)
PAC ID
8820270549
Group Practice PAC ID
2961486733
Professional Enrollment ID
I20110316000525
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 1, Northwest 27th Avenue, Little Havana, Miami, Miami-Dade County, Florida, 33125, United States

    MIAMI, FL 331422826

    Phone: (305) 637-6400

    Fax: (305) 636-5155

    Type: Mailing

  • Northwest 95th Street, Hialeah Gardens, Miami-Dade County, Florida, 33195, United States

    MIAMI, FL 331502064

    Phone: (305) 637-6400

    Fax: (305) 636-5155

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33142)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2961486733View full group profile
NameSpecialtyState
Registered Dietitian Or Nutrition ProfessionalFL
Nurse PractitionerFL
Nurse PractitionerFL
Clinical Social WorkerFL
Internal MedicineFL
P O D I A T R YCA
Family PracticeFL
Mental Health CounselorFL
Nurse PractitionerFL
-FL

Reviews

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Frequently asked questions

What is the standard ID for Unknown Individual in the U.S.?
In the U.S., Unknown Individual is identified by NPI 1528032117.
Should I call the clinic if Unknown Individual is inactive here?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
How should patients interpret Unknown Individual's specialty?
The extract shows Family Medicine Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
What geographic area is tied to Unknown Individual?
Unknown Individual is associated with Miami, Florida in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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