Ifa Medical Center Inc

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

IFA MEDICAL CENTER INC

Practice address

1695 SW 107TH Ave
Suite 201
Miami, FL 33165-7344

Phone

(305) 207-4443

Fax

(305) 207-4442

NPI assigned

Jun 11, 2008

Organization subpart

No

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

Authorized official

Name

Eliezer Gonzalez

Title

President

Phone

(305) 207-4443

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1213142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216684800000",
    "number": "1083874275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1695 SW 107TH AVE",
            "address_2": "SUITE 201",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331657344",
            "telephone_number": "305-207-4443",
            "fax_number": "305-207-4442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1695 SW 107TH AVE",
            "address_2": "SUITE 201",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331657344",
            "telephone_number": "305-207-4443",
            "fax_number": "305-207-4442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IFA MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-11",
        "last_updated": "2008-07-22",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "ELIEZER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-207-4443"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FDA CERTIFIED MAMMOGRAPHY",
            "identifier": "236497",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHIELD",
            "identifier": "V3102",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yolanda Iduate Banobre, DMD
• Iem Consulting, Inc
• Ifa Adults Care Inc
• Ifa Lola Alf, Inc.
• Ifa Medical Center Inc (University Health Care Center)
• Ifa Medical Center, Inc
• Ifa Medical Supply Inc.
• Ifa Rehab Center, Inc
• Ifc Holdings LLC (Sunset Pediatric Academy)
• Ifit Physical Therapy LLC

• Radiology Clinic/Center in Miami, FL
• Providers in Miami, FL by specialty
• Radiology Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2008; 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.