Organization Active NPI

Ifa Medical Center Inc

  • General Practice Physician
  • Miami, FL
National Provider Identifier
1043209786
Registry record updated Jan 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
IFA MEDICAL CENTER INC
Practice address
1695 SW 107TH Ave
Suite 201
Miami, FL 33165-7344
Phone
(305) 207-4443
Fax
(305) 207-4442
NPI assigned
Oct 15, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2008

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

Authorized official

Name
Mr. Eliezer Gonzalez
Title
President
Phone
(305) 207-4443

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

1695 SW 107TH Ave
Suite 201
Miami, FL 33165-7344

Mailing address

1695 SW 107TH Ave
Suite 201
Miami, FL 33165-7344
Phone (305) 207-4443

Other names 1

  • UNIVERSITY HEALTH CARE CENTER Doing business as

National Provider Directory

National Provider Directory

Locations

8260 W Flagler St
Ste 2N
Miami, FL 33144
Phone (305) 207-4443

NPI Registry JSON

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

{
    "created_epoch": "1129334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201564800000",
    "number": "1043209786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1695 SW 107TH AVE",
            "address_2": "SUITE 201",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331657344",
            "telephone_number": "305-207-4443",
            "fax_number": "305-207-4442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1695 SW 107TH AVE",
            "address_2": "SUITE 201",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331657344",
            "telephone_number": "305-207-4443",
            "fax_number": "305-207-4442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IFA MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-15",
        "last_updated": "2008-01-29",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "ELIEZER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-207-4443",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UNIVERSITY HEALTH CARE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2008; 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.