Pac Medical Center LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

PAC MEDICAL CENTER LLC

Practice address

4311 Palm Ave
Suit 3
Hialeah, FL 33012-4021

Phone

(305) 823-7740

Fax

(305) 823-8527

NPI assigned

May 8, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Juan Julio Hernandez, M.D

Title

Medical Director

Phone

(305) 823-7740

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003865296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4311 PALM AVE",
            "address_2": "SUIT 3",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330124021",
            "telephone_number": "305-823-7740",
            "fax_number": "305-823-8527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4311 PALM AVE",
            "address_2": "SUIT 3",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330124021",
            "telephone_number": "305-823-7740",
            "fax_number": "305-823-8527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAC MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "JULIO",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "305-823-7740",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• P/S Home Health Care
• PA Rehab
• Pabel Home Health Care, Inc.
• Erika Pablos-Velez, PSY.D.
• Pac Medical Center
• Pac Medical Services Corp
• Gabriel Pacareu
• Pacer Medical Supplies Corp.
• Mirna Carolina Pacheco Caceres
• Maria V Pacheco Perez

• Clinic/Center in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.