Medical Superior Group

LBN: Medical Superior Group
Medical Superior Group is an health care organization with primary practice located at 434 Sw 12Th Ave Ste 102, Miami FL 33130-2440. The organization recently has only one registered license in Managed Care Organizations / Health Maintenance Organization, which is considered as the primary health care specialty. Medical Superior Group can be contacted via phone (305) 563-7914, or through Grillo, Rafael S via phone (305) 563-7914.

Contact Information

Primary practice address
434 Sw 12Th Ave Ste 102 Miami FL 33130-2440
Phone: (305) 563-7914
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Grillo, Rafael S Doctor of Medicine (MD)
Phone: (305) 563-7914

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Health Maintenance Organization 302R00000X ME66588 Florida

Profile Details

NPI number 1093197329
LBN Legal business name Medical Superior Group
DBA Doing business as
Authorized official Grillo, Rafael S Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 23rd, 2015
Last updated Jun 23rd, 2015 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093197329 NPPES
Florida MEDICAID 375697100

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