Organization Active NPI

Denovo Medical Center Inc

  • Community/Behavioral Health Agency
  • Miami Lakes, FL
National Provider Identifier
1083203798
Registry record updated Jan 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
DENOVO MEDICAL CENTER INC
Practice address
15495 Eagle Nest LN Ste 206
Miami Lakes, FL 33014-2266
Phone
(305) 414-4029
NPI assigned
Jan 16, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2021

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

Authorized official

Name
Suria Errasti RodriguezNPI 1700501012
Title
President
Phone
(786) 792-1285

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

15495 Eagle Nest LN Ste 206
Miami Lakes, FL 33014-2266

Mailing address

15495 Eagle Nest LN Ste 206
Miami Lakes, FL 33014-2266
Phone (305) 414-4029

National Provider Directory

National Provider Directory

Locations

15495 Eagle Nest Ln
Ste 206
Miami Lakes, FL 33014
Phone (305) 414-4029

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": "1610755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610755200000",
    "number": "1083203798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15495 EAGLE NEST LN STE 206",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142266",
            "telephone_number": "305-414-4029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15495 EAGLE NEST LN STE 206",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142266",
            "telephone_number": "305-414-4029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENOVO MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-16",
        "last_updated": "2021-01-16",
        "certification_date": "2021-01-16",
        "status": "A",
        "authorized_official_last_name": "ERRASTI RODRIGUEZ",
        "authorized_official_first_name": "SURIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-792-1285"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2021; 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.