Ja Medical Center Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

JA MEDICAL CENTER INC

Practice address

6905 NW 77TH Ave
Miami, FL 33166-2835

Phone

(305) 889-2744

Fax

(305) 889-2745

NPI assigned

Jun 17, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Marlon Medina, VICE-PRESIDENT

Title

Vice-President

Phone

(305) 889-2744

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272844800000",
    "number": "1144265885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6905 NW 77TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331662835",
            "telephone_number": "305-889-2744",
            "fax_number": "305-889-2745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6905 NW 77TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331662835",
            "telephone_number": "305-889-2744",
            "fax_number": "305-889-2745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JA MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2010-05-03",
        "status": "A",
        "authorized_official_last_name": "MEDINA",
        "authorized_official_first_name": "MARLON",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "305-889-2744",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "VICE-PRESIDENT"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Miami, FL
• Providers in Miami, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2010; 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.