Organization Active NPI

Garden Medical Group Inc

  • Health Service Clinic/Center
  • Hialeah, FL
National Provider Identifier
1104282011
Registry record updated Jan 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
GARDEN MEDICAL GROUP INC
Practice address
2800 W 84TH St Unit 11
Hialeah, FL 33018-4922
Phone
(786) 409-4044
NPI assigned
Jan 7, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2016

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

Authorized official

Name
Mr. Glen Lopez
Title
President
Phone
(305) 502-3980

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

2800 W 84TH St Unit 11
Hialeah, FL 33018-4922

Mailing address

2800 W 84TH St Unit 11
Hialeah, FL 33018-4922
Phone (786) 409-4044

National Provider Directory

National Provider Directory

Locations

2800 W 84th St
Unit 11
Hialeah, FL 33018
Phone (305) 362-4994

NPI Registry JSON

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

{
    "created_epoch": "1452124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452124800000",
    "number": "1104282011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 W 84TH ST UNIT 11",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330184922",
            "telephone_number": "786-409-4044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 W 84TH ST UNIT 11",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330184922",
            "telephone_number": "786-409-4044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDEN MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-07",
        "last_updated": "2016-01-07",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "GLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-502-3980",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2016; 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.