Organization Active NPI

Gralos Medical Center Corporation

  • Clinic/Center
  • Miami, FL
National Provider Identifier
1124890371
Registry record updated Sep 10, 2025
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OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128b(7) exclusion effective Jul 24, 2026.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
GRALOS MEDICAL CENTER CORPORATION
Practice address
8080 W Flagler St Ste 3C
Miami, FL 33144-2100
Phone
(786) 383-8724
NPI assigned
Oct 23, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

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

Authorized official

Name
Barbara Chacon Basulto
Title
Authorized Official
Phone
(786) 383-8724

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

8080 W Flagler St Ste 3C
Miami, FL 33144-2100

Mailing address

8080 W Flagler St Ste 3C
Miami, FL 33144-2100
Phone (786) 383-8724

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1698019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757462400000",
    "number": "1124890371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8080 W FLAGLER ST STE 3C",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331442100",
            "telephone_number": "786-383-8724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8080 W FLAGLER ST STE 3C",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331442100",
            "telephone_number": "786-383-8724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRALOS MEDICAL CENTER CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-23",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A",
        "authorized_official_last_name": "BASULTO",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "CHACON",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "786-383-8724"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.