Jag Medical Center LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

ME0055443 Issued in FL

Legal business name

JAG MEDICAL CENTER LLC

Practice address

1340 W 68TH St
Hialeah, FL 33014-4526

Phone

(305) 556-7245

Fax

(954) 200-7814

NPI assigned

Aug 14, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Jose A Gonzalez, M.D.NPI 1184697732

Title

Owner

Phone

(305) 556-7245

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jose A Gonzalez, M.D.

  • General Practice Physician
  • Hialeah, FL
  • NPI 1184697732
  NPD (past) Authorized official

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

{
    "created_epoch": "1439510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439510400000",
    "number": "1083080923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 W 68TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330144526",
            "telephone_number": "305-556-7245",
            "fax_number": "954-200-7814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 W 68TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330144526",
            "telephone_number": "305-556-7245",
            "fax_number": "954-200-7814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAG MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-14",
        "last_updated": "2015-08-14",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-556-7245",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME0055443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yaidelys Jacomino Bermudez
• Ivonne Ileana Jacomino Lopez, FNP
• Jennifer Jacomino
• Jacquis Palace
• Ghulam Jafferi, MD
• Jaime a. Soteras MD PA
• Jaime E. Campos, M.D., P.a.
• Jaime Garcia, M.D., P.a.
• Osnell Jaime Moleiro
• Beatriz C Jaime Zayas

• General Practice Physician in Hialeah, FL
• Providers in Hialeah, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2015; 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.