Organization Active NPI

Shelton Medical Services

  • Clinic/Center
  • Miami, FL
National Provider Identifier
1104193457
Registry record updated Nov 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
HCC9312 Issued in FL
Legal business name
SHELTON MEDICAL SERVICES
Practice address
7392 NW 35TH Ter
Ste 302
Miami, FL 33122-1271
Phone
(305) 436-8947
NPI assigned
Nov 30, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2011

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

Authorized official

Name
Alain De Leon
Title
President
Phone
(305) 436-8947

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X HCC9312 FL Primary

Addresses

Primary practice location

7392 NW 35TH Ter
Ste 302
Miami, FL 33122-1271

Mailing address

7392 NW 35TH Ter
Ste 302
Miami, FL 33122-1271

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1322611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322611200000",
    "number": "1104193457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7392 NW 35TH TER",
            "address_2": "STE 302",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331221271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7392 NW 35TH TER",
            "address_2": "STE 302",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331221271",
            "telephone_number": "305-436-8947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELTON MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-30",
        "last_updated": "2011-11-30",
        "status": "A",
        "authorized_official_last_name": "DE LEON",
        "authorized_official_first_name": "ALAIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-436-8947"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "HCC9312",
            "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 Nov 30, 2011; 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.