Organization Active NPI

Sweet Medical Center Corp

  • Primary Care Clinic/Center
  • Tampa, FL
National Provider Identifier
1053131466
Registry record updated Oct 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
SWEET MEDICAL CENTER CORP
Practice address
5352 N Habana Ave Ste B
Tampa, FL 33614-6838
Phone
(813) 756-1956
NPI assigned
Oct 11, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2024

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

Authorized official

Name
Jose Zaldivar RicardoNPI 1326758293
Title
Aprn
Phone
(813) 723-0546

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

5352 N Habana Ave Ste B
Tampa, FL 33614-6838

Mailing address

5352 N Habana Ave Ste B
Tampa, FL 33614-6838
Phone (813) 756-1956

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250312001385 FL Part B Supplier - Clinic/Group Practice 5193246791 Receives reassigned benefits from 2 practitioners
Practice locations: Tampa, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2320858Sweet Medical Center Corp5352 N Habana Suite B, Tampa, FL 33614Certificate of waiverMar 24, 2027

National Provider Directory

National Provider Directory

Locations

5352 N Habana Ave
Ste B
Tampa, FL 33614
Phone (813) 756-1956

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1728604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728604800000",
    "number": "1053131466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5352 N HABANA AVE STE B",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336146838",
            "telephone_number": "813-756-1956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5352 N HABANA AVE STE B",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336146838",
            "telephone_number": "813-756-1956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWEET MEDICAL CENTER CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-11",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A",
        "authorized_official_last_name": "ZALDIVAR RICARDO",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "APRN",
        "authorized_official_telephone_number": "813-723-0546"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.