Dolphin Medical Center

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

HCC10585 Issued in FL

Legal business name

DOLPHIN MEDICAL CENTER

Practice address

8181 NW 36TH St
Ste 5B
Doral, FL 33166-6671

Phone

(786) 712-9916

Fax

(305) 603-9850

NPI assigned

Sep 5, 2013

Organization subpart

No

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

Authorized official

Name

Juan Jose Monteagudo

Title

Owner

Phone

(786) 712-9916

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1378339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378339200000",
    "number": "1063847374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8181 NW 36TH ST",
            "address_2": "STE 5B",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666671",
            "telephone_number": "786-712-9916",
            "fax_number": "305-603-9850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8181 NW 36TH ST",
            "address_2": "STE 5B",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666671",
            "telephone_number": "786-712-9916",
            "fax_number": "305-603-9850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOLPHIN MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-05",
        "last_updated": "2013-09-05",
        "status": "A",
        "authorized_official_last_name": "MONTEAGUDO",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "JOSE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-712-9916"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "HCC10585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Doral, FL
• Providers in Doral, 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 5, 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.