NPIMap

Organization Active NPI

Eliom Medical Center

  • Clinic/Center
  • Miami, FL
National Provider Identifier
1114940376
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
591034-6 Issued in FL
Legal business name
ELIOM MEDICAL CENTER
Practice address
9600 SW 8TH St
Suite 38
Miami, FL 33174-2900
Phone
(305) 552-5178
Fax
(305) 552-5198
NPI assigned
Jul 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ernesto Roman
Title
President
Phone
(305) 552-5178

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 591034-6 FL Primary

Addresses

Primary practice location

9600 SW 8TH St
Suite 38
Miami, FL 33174-2900

Mailing address

9600 SW 8TH St
Suite 38
Miami, FL 33174-2900
Phone (305) 552-5178

National Provider Directory

National Provider Directory
Tax ID family
Eliom Medical Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114940376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9600 SW 8TH ST",
            "address_2": "SUITE 38",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331742900",
            "telephone_number": "305-552-5178",
            "fax_number": "305-552-5198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9600 SW 8TH ST",
            "address_2": "SUITE 38",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331742900",
            "telephone_number": "305-552-5178",
            "fax_number": "305-552-5198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIOM MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROMAN",
        "authorized_official_first_name": "ERNESTO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-552-5178"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "591034-6",
            "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 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.