Organization Active NPI

Dade Medical Group Inc

  • Clinic/Center
  • Miami, FL
National Provider Identifier
1053759423
Registry record updated Jun 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
HCC7577 Issued in FL
Legal business name
DADE MEDICAL GROUP INC
Practice address
782 NW 42ND Ave
Suite 439
Miami, FL 33126-5541
Phone
(786) 360-6657
NPI assigned
Jun 7, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2013

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

Authorized official

Name
Maria C Vital
Title
President
Phone
(786) 360-6657

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X HCC7577 FL Primary

Addresses

Primary practice location

782 NW 42ND Ave
Suite 439
Miami, FL 33126-5541

Mailing address

782 NW 42ND Ave
Suite 439
Miami, FL 33126-5541

National Provider Directory

National Provider Directory

Locations

782 NW 42nd Ave
Ste 439
Miami, FL 33126
Phone (305) 965-9902

NPI Registry JSON

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

{
    "created_epoch": "1370563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370563200000",
    "number": "1053759423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "782 NW 42ND AVE",
            "address_2": "SUITE 439",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331265541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "782 NW 42ND AVE",
            "address_2": "SUITE 439",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331265541",
            "telephone_number": "786-360-6657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DADE MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-07",
        "last_updated": "2013-06-07",
        "status": "A",
        "authorized_official_last_name": "VITAL",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-360-6657"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "HCC7577",
            "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 Jun 7, 2013; 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.