Active NPI
Ascencion Medical Center, Inc.
- Family Medicine Physician
- Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- ASCENCION MEDICAL CENTER, INC.
- Practice address
- 1060 NW 67 Ave
Miami, FL 33144 - Phone
- (305) 807-0791
- NPI assigned
- Jan 6, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Guido Lopez, ARNP
- Title
- Administrator
- Phone
- (786) 353-2573
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Clinic/Center | 261Q00000X |
Addresses
Primary practice location
1060 NW 67 Ave
Miami, FL 33144
Mailing address
7440 N Kendall Dr Apt 3113
Miami, FL 33156-8073
Phone (305) 807-0791
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2231916 | Ascencion Medical Center, Inc | Certificate of waiver | Aug 8, 2027 |
National Provider Directory
National Provider DirectoryLocations
1060 SW 67th Ave
Miami, FL 33144
Phone (305) 807-0791
Networks
- HealthSun Health Plans Network
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DDCFDD
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Miami, FL
- NPI 1174167522
-
- Internal Medicine Physician
- Miami, FL
- NPI 1760629760
-
- Family Medicine Physician
- Miami Lakes, FL
- NPI 1689101933
-
- Family Medicine Physician
- Miami, FL
- NPI 1043458326
-
- Family Medicine Physician
- Miami, FL
- NPI 1194024695
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609891200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1632268800000",
"number": "1134717036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7440 N KENDALL DR APT 3113",
"city": "MIAMI",
"state": "FL",
"postal_code": "331568073",
"telephone_number": "305-807-0791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1060 NW 67 AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "33144",
"telephone_number": "305-807-0791"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ASCENCION MEDICAL CENTER, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2021-01-06",
"last_updated": "2021-09-22",
"certification_date": "2021-09-22",
"status": "A",
"authorized_official_last_name": "LOPEZ",
"authorized_official_first_name": "GUIDO",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "786-353-2573",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "ARNP"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": false
}
],
"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 Sep 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.