Organization Active NPI

Mateo Medical Center Inc

  • Clinic/Center
  • Miami, FL
National Provider Identifier
1093385114
Registry record updated Aug 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
MATEO MEDICAL CENTER INC
Practice address
1850 SW 80 TH Ave
Unit 312
Miami, FL 33135-2119
Phone
(305) 492-5983
NPI assigned
Jun 30, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2022

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

Authorized official

Name
Fernando Lopez
Title
Owner
Phone
(305) 492-5983

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1850 SW 80 TH Ave
Unit 312
Miami, FL 33135-2119

Mailing address

1850 SW 80 TH Ave
Unit 312
Miami, FL 33135-2119
Phone (305) 492-5983

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1625011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661212800000",
    "number": "1093385114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 SW 80 TH AVE",
            "address_2": "UNIT 312",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331352119",
            "telephone_number": "305-492-5983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 SW 80 TH AVE",
            "address_2": "UNIT 312",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331352119",
            "telephone_number": "305-492-5983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATEO MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-30",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "FERNANDO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-492-5983"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; 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.