Dynasty Medical Center, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

HCC9007 Issued in FL

Legal business name

DYNASTY MEDICAL CENTER, LLC

Practice address

7000 SW 97TH Ave
106
Miami, FL 33173-1494

Phone

(305) 270-8030

Fax

(305) 270-8040

NPI assigned

Feb 5, 2011

Organization subpart

No

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

Authorized official

Name

Ricardo Exposito

Title

President

Phone

(305) 270-8030

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1296864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296864000000",
    "number": "1033415260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 SW 97TH AVE",
            "address_2": "106",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331731494",
            "telephone_number": "305-270-8030",
            "fax_number": "305-270-8040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 SW 97TH AVE",
            "address_2": "106",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331731494",
            "telephone_number": "305-270-8030",
            "fax_number": "305-270-8040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNASTY MEDICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-05",
        "last_updated": "2011-02-05",
        "status": "A",
        "authorized_official_last_name": "EXPOSITO",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-270-8030"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "HCC9007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2011; 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.