Miami Dade Medical Center Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MIAMI DADE MEDICAL CENTER INC

Practice address

1393 SW 1St St
Suite 211
Miami, FL 33135-2321

Phone

(305) 644-3101

NPI assigned

May 26, 2006

Organization subpart

No

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

Authorized official

Name

Frank Rivera

Title

President

Phone

(305) 644-3101

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093761199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1393 SW 1ST ST",
            "address_2": "SUITE 211",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331352321",
            "telephone_number": "305-644-3101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1393 SW 1ST ST",
            "address_2": "SUITE 211",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331352321",
            "telephone_number": "305-644-3101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIAMI DADE MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-644-3101"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miami Dade Home Care Services, LLC
• Miami Dade Home Health Care, Inc.
• Miami Dade Home Health Services, Inc
• Miami Dade Kid Therapy Corp
• Miami Dade Medical and Rehabilitation Center Corp
• Miami Dade Medical Group Inc
• Miami Dade Medical Research Institute LLC
• Miami Dade Pharmacy Discount Inc
• Miami Dade Primary Care LLC
• Miami Dade Urgent Care Corp

• Family Medicine Physician in Miami, FL
• Providers in Miami, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.