Centro Medico Hispano Corp

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

CENTRO MEDICO HISPANO CORP

Practice address

9300 NW 25TH St
209
Doral, FL 33172-1508

Phone

(305) 647-7383

Fax

(786) 534-3568

NPI assigned

May 18, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Rosalva Zegarra, PA

Title

President

Phone

(305) 647-7383

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1431907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431907200000",
    "number": "1023496403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9300 NW 25TH ST",
            "address_2": "209",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331721508",
            "telephone_number": "305-647-7383",
            "fax_number": "786-534-3568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 NW 25TH ST",
            "address_2": "209",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331721508",
            "telephone_number": "305-647-7383",
            "fax_number": "786-534-3568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO MEDICO HISPANO CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-18",
        "last_updated": "2015-05-18",
        "status": "A",
        "authorized_official_last_name": "ZEGARRA",
        "authorized_official_first_name": "ROSALVA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-647-7383",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PA"
    },
    "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 Doral, FL
• Providers in Doral, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2015; 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.