Organization Active NPI

Homestead Medical Diagnostic Inc

  • Pulmonary Diagnostics Certified Respiratory Therapist
  • Homestead, FL
National Provider Identifier
1073612396
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Diagnostics Certified Respiratory TherapistTaxonomy code 2278P1004X
Legal business name
HOMESTEAD MEDICAL DIAGNOSTIC INC
Practice address
225 S Krome Ave
Homestead, FL 33030-7212
Phone
(305) 248-1481
Fax
(305) 248-1482
NPI assigned
Sep 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Bertha Santovenia
Title
President
Phone
(305) 248-1481

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Diagnostics Certified Respiratory TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2278P1004X Primary

Addresses

Primary practice location

225 S Krome Ave
Homestead, FL 33030-7212

Mailing address

225 S Krome Ave
Homestead, FL 33030-7212
Phone (305) 248-1481

National Provider Directory

National Provider Directory

Locations

225 S Krome Ave
Homestead, FL 33030
Phone (305) 248-1481

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073612396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 S KROME AVE",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330307212",
            "telephone_number": "305-248-1481",
            "fax_number": "305-248-1482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 S KROME AVE",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330307212",
            "telephone_number": "305-248-1481",
            "fax_number": "305-248-1482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMESTEAD MEDICAL DIAGNOSTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SANTOVENIA",
        "authorized_official_first_name": "BERTHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-248-1481"
    },
    "taxonomies": [
        {
            "code": "2278P1004X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Respiratory Therapist, Certified, Pulmonary Diagnostics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homestead, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.