Organization Active NPI

JC Medical Clinic Corp

  • Family Medicine Physician
  • Miami, FL
National Provider Identifier
1073732558
Registry record updated Jul 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
JC MEDICAL CLINIC CORP
Practice address
7171 Coral Way
Suite 305
Miami, FL 33155-1449
Phone
(305) 264-2977
NPI assigned
Apr 24, 2007
Last updated
Jul 13, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2007

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

Authorized official

Name
Rosalba M Alducin Padron
Title
President
Phone
(305) 716-4202

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

7171 Coral Way
Suite 305
Miami, FL 33155-1449

Mailing address

7171 Coral Way
Suite 305
Miami, FL 33155-1449
Phone (305) 264-2977

National Provider Directory

National Provider Directory
Tax ID family
JC Medical Clinic Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184284800000",
    "number": "1073732558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7171 CORAL WAY",
            "address_2": "SUITE 305",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331551449",
            "telephone_number": "305-264-2977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7171 CORAL WAY",
            "address_2": "SUITE 305",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331551449",
            "telephone_number": "305-264-2977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JC MEDICAL CLINIC CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2007-07-13",
        "status": "A",
        "authorized_official_last_name": "ALDUCIN PADRON",
        "authorized_official_first_name": "ROSALBA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-716-4202"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "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 Jul 13, 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.