Pataky Medical Center Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

HCC10449 Issued in FL

Legal business name

PATAKY MEDICAL CENTER INC

Practice address

12781 SW 42ND St
Suite G
Miami, FL 33175-3437

Phone

(305) 553-2220

Fax

(305) 553-9753

NPI assigned

Mar 29, 2006

Last updated

Feb 16, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Carmen Zilia Oliva, LPN

Title

President

Phone

(305) 553-2220

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455580800000",
    "number": "1114988151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12781 SW 42ND ST",
            "address_2": "SUITE G",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753437",
            "telephone_number": "305-553-2220",
            "fax_number": "305-553-9753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12781 SW 42ND ST",
            "address_2": "SUITE G",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753437",
            "telephone_number": "305-553-2220",
            "fax_number": "305-553-9753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATAKY MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-29",
        "last_updated": "2016-02-16",
        "status": "A",
        "authorized_official_last_name": "OLIVA",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_middle_name": "ZILIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-553-2220",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "HCC10449",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "HCC10449",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "K8416A",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leysis Pastrana de Leon
• Margarita Pastrana Monrabal, HHA
• Christian Pastrana
• Kristy Pastrana
• Daphney M Pata, PHARMD
• Rodolfo Pataky, P.A.
• Nicole Terese Patalano-Bice
• Sherri Patchen, ARNP
• Ruchi Patel Egusquiza, M.D.
• Patel Head and Neck Surgery PA (Head & Neck Oncology and Reconstructive Surgery)

• 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 Feb 16, 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.