GM Professional Corp

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

GM PROFESSIONAL CORP

Practice address

4888 NW 183Rd St Ste 201
Miami Gardens, FL 33055-2942

Phone

(754) 259-0277

NPI assigned

Sep 16, 2024

Organization subpart

No

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

Authorized official

Name

Osney Leyva

Title

President

Phone

(754) 259-0277

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1726444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726444800000",
    "number": "1053148882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4888 NW 183RD ST STE 201",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330552942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4888 NW 183RD ST STE 201",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330552942",
            "telephone_number": "754-259-0277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GM PROFESSIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-16",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A",
        "authorized_official_last_name": "LEYVA",
        "authorized_official_first_name": "OSNEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "754-259-0277"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; 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.