Organization Active NPI

Royal Health Medical Center Inc

  • Clinic/Center
  • Miami, FL
National Provider Identifier
1053190447
Registry record updated Sep 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
ROYAL HEALTH MEDICAL CENTER INC
Practice address
3383 NW 7TH St Ste 305&306
Miami, FL 33125-4164
Phone
(786) 238-7785
NPI assigned
Sep 25, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2023

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

Authorized official

Name
Irma Maria Valdes Sepulveda
Title
President
Phone
(786) 498-5905

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

3383 NW 7TH St Ste 305&306
Miami, FL 33125-4164

Mailing address

3383 NW 7TH St Ste 305&306
Miami, FL 33125-4164
Phone (786) 238-7785

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240621001904 FL Part B Supplier - Clinic/Group Practice 2769925486 Receives reassigned benefits from 1 practitioner
Practice locations: Miami, FL

National Provider Directory

National Provider Directory

Locations

3383 NW 7th St
Ste 305306
Miami, FL 33125
Phone (786) 238-7785

Practitioners & affiliated clinicians

Practitioners 1

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": "1695600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695600000000",
    "number": "1053190447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3383 NW 7TH ST STE 305&306",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331254164",
            "telephone_number": "786-238-7785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3383 NW 7TH ST STE 305&306",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331254164",
            "telephone_number": "786-238-7785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROYAL HEALTH MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-25",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A",
        "authorized_official_last_name": "VALDES SEPULVEDA",
        "authorized_official_first_name": "IRMA",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-498-5905"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.