Organization Active NPI

Doral Community Clinic Inc

  • Health Service Clinic/Center
  • Doral, FL
National Provider Identifier
1114354073
Registry record updated Oct 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
DORAL COMMUNITY CLINIC INC
Practice address
9300 NW 25TH St
Suite 106
Doral, FL 33172-1508
Phone
(305) 498-9898
NPI assigned
Oct 8, 2013
Last updated
Oct 8, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2013

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

Authorized official

Name
Ricardo Martinez, MD
Title
Ceo
Phone
(305) 498-9898

Specialties & licenses 1

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

Addresses

Primary practice location

9300 NW 25TH St
Suite 106
Doral, FL 33172-1508

Mailing address

9300 NW 25TH St
Suite 106
Doral, FL 33172-1508
Phone (305) 498-9898

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1381190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381190400000",
    "number": "1114354073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9300 NW 25TH ST",
            "address_2": "SUITE 106",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331721508",
            "telephone_number": "305-498-9898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 NW 25TH ST",
            "address_2": "SUITE 106",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331721508",
            "telephone_number": "305-498-9898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DORAL COMMUNITY CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-08",
        "last_updated": "2013-10-08",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "305-498-9898",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2013; 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.