Organization Active NPI

Nunez Medical Center LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Miami, FL
National Provider Identifier
1144044306
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
NUNEZ MEDICAL CENTER LLC
Practice address
13501 SW 136TH St Ste 204
Miami, FL 33186-8321
Phone
(786) 713-0112
Fax
(786) 227-6949
NPI assigned
Nov 13, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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

Authorized official

Name
Gianky Nunez
Title
MGR/Administrator
Phone
(786) 713-0112

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

13501 SW 136TH St Ste 204
Miami, FL 33186-8321

Mailing address

13501 SW 136TH St Ste 204
Miami, FL 33186-8321
Phone (786) 713-0112

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250307000882 FL Part B Supplier - Clinic/Group Practice 3476074345 Receives reassigned benefits from 2 practitioners
Practice locations: Miami, FL

National Provider Directory

National Provider Directory

Locations

13501 SW 136th St
Ste 204
Miami, FL 33186
Phone (786) 713-0112

Practitioners & affiliated clinicians

Practitioners 2

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": "1731456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731456000000",
    "number": "1144044306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13501 SW 136TH ST STE 204",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331868321",
            "telephone_number": "786-713-0112",
            "fax_number": "786-227-6949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13501 SW 136TH ST STE 204",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331868321",
            "telephone_number": "786-713-0112",
            "fax_number": "786-227-6949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUNEZ MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-13",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A",
        "authorized_official_last_name": "NUNEZ",
        "authorized_official_first_name": "GIANKY",
        "authorized_official_title_or_position": "MGR/ADMINISTRATOR",
        "authorized_official_telephone_number": "786-713-0112"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "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 Nov 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.