Organization Active NPI

Medley Clinic Center Inc

  • Family Medicine Physician
  • Miami, FL
National Provider Identifier
1124073051
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MEDLEY CLINIC CENTER INC
Practice address
6925 NW 77TH Ave
Miami, FL 33166-2835
Phone
(305) 884-0378
NPI assigned
May 22, 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
Rolando Cardenas Cheniques
Title
President
Phone
(305) 884-0378

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

6925 NW 77TH Ave
Miami, FL 33166-2835

Mailing address

6925 NW 77TH Ave
Miami, FL 33166-2835
Phone (305) 884-0378

National Provider Directory

National Provider Directory

Locations

6925 NW 77th Ave
Miami, FL 33166
Phone (305) 884-0378

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124073051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6925 NW 77TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331662835",
            "telephone_number": "305-884-0378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6925 NW 77TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331662835",
            "telephone_number": "305-884-0378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDLEY CLINIC CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CARDENAS CHENIQUES",
        "authorized_official_first_name": "ROLANDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-884-0378"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "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.