SRC PROFESIONAL CORP
NPI 1447815972
Nurse Practitioner - Family in Miami, FL

Active since May 09, 2019
13925 SW 179TH ST, MIAMI, FL 33177(786) 237-9124 Get Directions Write a Review

NPPES record last updated: May 9, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Src Profesional Corp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SRC PROFESIONAL CORP (NPI 1447815972) is a healthcare organization registered as a family in Miami, Florida and active in the NPI registry since May 2019. The organization lists Sergio Rodriguez-chaple, Arnp, as its authorized official.

NPPES Registry Identity

NPI1447815972
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameSRC PROFESIONAL CORP
Location Address13925 SW 179TH STMiami, FL 33177-7743
Mailing Address13925 Sw 179th StMiami, FL 33177-7743 · (786) 237-9124
Organization SubpartNo
Authorized OfficialSergio Rodriguez-chapleArnp · (786) 237-9124
Enumeration DateMay 9, 2019
NPI 1447815972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
13925 SW 179TH ST, Miami, FL 33177

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
13925 SW 179TH ST
MIAMI, FL 33177

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Src Profesional Corp's NPI number?

The NPI number for Src Profesional Corp is 1447815972. It was assigned to this organization in the NPPES registry on May 9, 2019.

Where is Src Profesional Corp located?

Src Profesional Corp is located at 13925 SW 179th St, Miami, FL 33177. The listed phone number is (786) 237-9124.

What is Src Profesional Corp's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Src Profesional Corp was last updated on May 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.