Active NPI
Emc Medical Center Inc
- Clinic/Center
- Miami Lakes, FL
National Provider Identifier
1033247028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- HCC7521
- Legal business name
- EMC MEDICAL CENTER INC
- Practice address
- 7480 Fairway Dr
Suite 209
Miami Lakes, FL 33014-6879 - Phone
- (305) 826-7919
- Fax
- (305) 826-0541
- NPI assigned
- Mar 1, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Esteban M Ata
- Title
- President
- Phone
- (305) 826-7919
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | HCC7521 | FL | Primary |
Addresses
Primary practice location
7480 Fairway Dr
Suite 209
Miami Lakes, FL 33014-6879
Mailing address
7480 Fairway Dr
Suite 209
Miami Lakes, FL 33014-6879
Phone (305) 826-7919
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HCC7521 | Other | FL | AHCA LICENSE |
National Provider Directory
National Provider Directory- Tax ID family
- Emc Medical Center Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinic/Center
- Miami Lakes, FL
- NPI 1548412430
Locations
7480 Fairway Dr
Ste 209
Miami Lakes, FL 33014
Phone (786) 543-0564
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172707200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1033247028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7480 FAIRWAY DR",
"address_2": "SUITE 209",
"city": "MIAMI LAKES",
"state": "FL",
"postal_code": "330146879",
"telephone_number": "305-826-7919",
"fax_number": "305-826-0541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7480 FAIRWAY DR",
"address_2": "SUITE 209",
"city": "MIAMI LAKES",
"state": "FL",
"postal_code": "330146879",
"telephone_number": "305-826-7919",
"fax_number": "305-826-0541"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EMC MEDICAL CENTER INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-01",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "M ATA",
"authorized_official_first_name": "ESTEBAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "305-826-7919",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "FL",
"license": "HCC7521",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AHCA LICENSE",
"identifier": "HCC7521",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Miami Lakes, FL
Sources for this page
- 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.