NPIMap

Organization Active NPI

Palm Medical Center - Aventura, LLC

  • Clinic/Center
  • Aventura, FL
National Provider Identifier
1053764829
Registry record updated Jul 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
PALM MEDICAL CENTER - AVENTURA, LLC
Practice address
16241 Biscayne Blvd
Aventura, FL 33160-4300
Phone
(305) 947-9414
Fax
(305) 803-2389
NPI assigned
Jul 18, 2016
Last updated
Jul 18, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
HEALTH HOLDINGS COMPANY, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 18, 2016

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

Authorized official

Name
Santiago Moises Martin
Title
Vice President of Operations
Phone
(786) 362-4173

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

16241 Biscayne Blvd
Aventura, FL 33160-4300

Mailing address

2600 Douglas Road
PH7
Coral Gables, FL 33134
Phone (305) 913-9444

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160818001144 FL Part B Supplier - Clinic/Group Practice 8224323050 Receives reassigned benefits from 72 practitioners
7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Land O Lakes, FL; Plantation, FL; Port Richey, FL; Sebring, FL; Plant City, FL; Spring Hill, FL; Tamarac, FL; Tampa, FL…

Other NPIs on the same Medicare enrollment 7

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Health Holdings Company LLC

Locations

2600 S Douglas Rd
Ph 7
Coral Gables, FL 33134
Phone (305) 913-9441

37235 Medical Dr
Dade City, FL 33525
Phone (352) 496-5823

16795 NW 67th Ave
Hialeah, FL 33015
Phone (305) 913-7300

14807 E Colonial Dr
Ste 112
Orlando, FL 32826
Phone (407) 250-6742

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1468800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468800000000",
    "number": "1053764829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 DOUGLAS ROAD",
            "address_2": "PH7",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "33134",
            "telephone_number": "305-913-9444",
            "fax_number": "305-442-1198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16241 BISCAYNE BLVD",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331604300",
            "telephone_number": "305-947-9414",
            "fax_number": "305-803-2389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM MEDICAL CENTER - AVENTURA, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEALTH HOLDINGS COMPANY, LLC",
        "enumeration_date": "2016-07-18",
        "last_updated": "2016-07-18",
        "status": "A",
        "authorized_official_last_name": "MOISES MARTIN",
        "authorized_official_first_name": "SANTIAGO",
        "authorized_official_title_or_position": "VICE PRESIDENT OF OPERATIONS",
        "authorized_official_telephone_number": "786-362-4173"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aventura, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2016; 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.