Sagrado Corazon Medical Center LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SAGRADO CORAZON MEDICAL CENTER LLC

Practice address

700 E 1St Avenue
Hialeah, FL 33010-4645

Phone

(786) 488-4301

Fax

(786) 534-2917

NPI assigned

Jul 12, 2021

Organization subpart

No

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

Authorized official

Name

Carlos Alberto Diaz Valladares, APRN

Title

Member/Owner

Phone

(786) 488-4301

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1626048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687737600000",
    "number": "1043882061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 E 1ST AVENUE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330104645",
            "telephone_number": "305-200-5532",
            "fax_number": "786-534-2917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E 1ST AVENUE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330104645",
            "telephone_number": "786-488-4301",
            "fax_number": "786-534-2917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGRADO CORAZON MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-12",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A",
        "authorized_official_last_name": "DIAZ VALLADARES",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "ALBERTO",
        "authorized_official_title_or_position": "MEMBER/OWNER",
        "authorized_official_telephone_number": "786-488-4301",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2023; 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.