Organization Active NPI

Healthmed Clinical Center Inc

  • General Practice Physician
  • Coral Gables, FL
National Provider Identifier
1083461891
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
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

Updated by the provider on Aug 13, 2024

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)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20240722002927 FL Part B Supplier - Clinic/Group Practice 8123564523 Receives reassigned benefits from 2 practitioners
Practice locations: Coral Gables, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "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.

Verify at the official NPI Registry.