Active NPI
Healthmed Clinical Center Inc
- General Practice Physician
- Coral Gables, FL
National Provider Identifier
1083461891
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- HEALTHMED CLINICAL CENTER INC
- Practice address
- 3971 SW 8TH St Ste 209
Coral Gables, FL 33134-2950 - Phone
- (786) 786-0658
- Fax
- (786) 786-0904
- NPI assigned
- May 1, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jesdit Diaz
- Title
- Officer
- Phone
- (786) 786-0658
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
3971 SW 8TH St Ste 209
Coral Gables, FL 33134-2950
Mailing address
3971 SW 8TH St Ste 209
Coral Gables, FL 33134-2950
Phone (786) 786-0658
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Doral, FL
- NPI 1003002817
-
- Family Nurse Practitioner
- North Miami Beach, FL
- NPI 1326701350
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714521600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1723507200000",
"number": "1083461891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3971 SW 8TH ST STE 209",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "331342950",
"telephone_number": "786-786-0658",
"fax_number": "786-786-0904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3971 SW 8TH ST STE 209",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "331342950",
"telephone_number": "786-786-0658",
"fax_number": "786-786-0904"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTHMED CLINICAL CENTER INC",
"organizational_subpart": "NO",
"enumeration_date": "2024-05-01",
"last_updated": "2024-08-13",
"certification_date": "2024-08-13",
"status": "A",
"authorized_official_last_name": "DIAZ",
"authorized_official_first_name": "JESDIT",
"authorized_official_title_or_position": "OFFICER",
"authorized_official_telephone_number": "786-786-0658"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coral Gables, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.