Organization Active NPI

Eli Medical Center Inc

  • Clinic/Center
  • West Miami, FL
National Provider Identifier
1063454676
Registry record updated Jul 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
HCC4733 Issued in FL
Legal business name
ELI MEDICAL CENTER INC
Practice address
5935 SW 8TH St
West Miami, FL 33144-5037
Phone
(305) 265-1881
NPI assigned
Jun 11, 2006
Organization subpart
Yes
Parent organization
ELI MEDICAL CENTER INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 10, 2007

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

Authorized official

Name
Mr. Elias Sebastian Munguia
Title
President
Phone
(305) 265-1881

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X HCC4733 FL Primary

Addresses

Primary practice location

5935 SW 8TH St
West Miami, FL 33144-5037

Mailing address

5935 SW 8TH St
West Miami, FL 33144-5037
Phone (305) 265-1881

National Provider Directory

National Provider Directory
Part of
Eli Medical Center Inc

Locations

5919 SW 8th St
West Miami, FL 33144
Phone (305) 265-1881

5935 SW 8th St
West Miami, FL 33144
Phone (305) 265-1881

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": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184025600000",
    "number": "1063454676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5935 SW 8TH ST",
            "city": "WEST MIAMI",
            "state": "FL",
            "postal_code": "331445037",
            "telephone_number": "305-265-1881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5935 SW 8TH ST",
            "city": "WEST MIAMI",
            "state": "FL",
            "postal_code": "331445037",
            "telephone_number": "305-265-1881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELI MEDICAL CENTER INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ELI MEDICAL CENTER INC",
        "enumeration_date": "2006-06-11",
        "last_updated": "2007-07-10",
        "status": "A",
        "authorized_official_last_name": "MUNGUIA",
        "authorized_official_first_name": "ELIAS",
        "authorized_official_middle_name": "SEBASTIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-265-1881",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "HCC4733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2007; 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.