Orex Medical Center Corporation

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

ME66369 Issued in FL

Legal business name

OREX MEDICAL CENTER CORPORATION

Practice address

4980 W 10TH Ave
Suite 205
Hialeah, FL 33012-3437

Phone

(305) 556-4235

Fax

(305) 556-4237

NPI assigned

Jan 18, 2007

Organization subpart

No

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

Authorized official

Name

Manuel F Fernandez, MD

Title

Owner

Phone

(305) 556-4235

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399334400000",
    "number": "1023160991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4980 W 10TH AVE",
            "address_2": "SUITE 205",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123437",
            "telephone_number": "305-556-4235",
            "fax_number": "305-556-4237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4980 W 10TH AVE",
            "address_2": "SUITE 205",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123437",
            "telephone_number": "305-556-4235",
            "fax_number": "305-556-4237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OREX MEDICAL CENTER CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2014-05-06",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-556-4235",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME66369",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "373393902",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Hialeah, FL
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2014; 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.