Organization Active NPI

General Health Medical Group,Inc

  • Multi-Specialty Clinic/Center
  • Miami, FL
National Provider Identifier
1144633256
Registry record updated Jun 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
License
ME110036 Issued in FL
Legal business name
GENERAL HEALTH MEDICAL GROUP,INC
Practice address
85 Grand Canal Dr Ste 104
Miami, FL 33144-2566
Phone
(786) 409-3957
NPI assigned
Jun 5, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2014

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

Authorized official

Name
Mr. Wilfredo E Bravo, MD
Title
Medical Doctor
Phone
(786) 409-3957

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X ME110036 FL Primary

Addresses

Primary practice location

85 Grand Canal Dr Ste 104
Miami, FL 33144-2566

Mailing address

85 Grand Canal Dr Ste 104
Miami, FL 33144-2566
Phone (786) 409-3957

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1401926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401926400000",
    "number": "1144633256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 GRAND CANAL DR STE 104",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331442566",
            "telephone_number": "786-409-3957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 GRAND CANAL DR STE 104",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331442566",
            "telephone_number": "786-409-3957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENERAL HEALTH MEDICAL GROUP,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-05",
        "last_updated": "2014-06-05",
        "status": "A",
        "authorized_official_last_name": "BRAVO",
        "authorized_official_first_name": "WILFREDO",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "786-409-3957",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "FL",
            "license": "ME110036",
            "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 Jun 5, 2014; 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.