Pride Group Center, Inc.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

PRIDE GROUP CENTER, INC.

Practice address

692 W 29TH St
12
Hialeah, FL 33012-5620

Phone

(786) 274-0386

NPI assigned

May 12, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Felipe Cruz

Title

President

Phone

(786) 274-0386

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003866609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "692 W 29TH ST",
            "address_2": "12",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330125620",
            "telephone_number": "786-274-0386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "692 W 29TH ST",
            "address_2": "12",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330125620",
            "telephone_number": "786-274-0386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIDE GROUP CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "FELIPE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-274-0386",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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.