Organization Active NPI

The Dolphin Medical Center, Inc

  • Internal Medicine Physician
  • Sweetwater, FL
National Provider Identifier
1134628506
Registry record updated Feb 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0068077 Issued in FL
Legal business name
THE DOLPHIN MEDICAL CENTER, INC
Practice address
1460 NW 107TH Ave Ste a
Sweetwater, FL 33172-2733
Phone
(305) 887-2252
Fax
(786) 693-8488
NPI assigned
Feb 12, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2018

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

Authorized official

Name
Dr. Hugo Llanes Jr., MEDICAL DOCTOR
Title
President
Phone
(305) 887-2252

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X ME0068077 FL Primary

Addresses

Primary practice location

1460 NW 107TH Ave Ste a
Sweetwater, FL 33172-2733

Mailing address

1460 NW 107TH Ave Ste a
Sweetwater, FL 33172-2733
Phone (305) 887-2252

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1518393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518393600000",
    "number": "1134628506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1460 NW 107TH AVE STE A",
            "city": "SWEETWATER",
            "state": "FL",
            "postal_code": "331722733",
            "telephone_number": "305-887-2252",
            "fax_number": "786-693-8488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 NW 107TH AVE STE A",
            "city": "SWEETWATER",
            "state": "FL",
            "postal_code": "331722733",
            "telephone_number": "305-887-2252",
            "fax_number": "786-693-8488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE DOLPHIN MEDICAL CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-12",
        "last_updated": "2018-02-12",
        "status": "A",
        "authorized_official_last_name": "LLANES",
        "authorized_official_first_name": "HUGO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-887-2252",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MEDICAL DOCTOR"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0068077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sweetwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2018; 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.