NPIMap

Organization Active NPI

Su Familia Medical Center Inc

  • Clinic/Center
  • Miami, FL
National Provider Identifier
1144634726
Registry record updated Jun 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
HCC10090 Issued in FL
Legal business name
SU FAMILIA MEDICAL CENTER INC
Practice address
7811 SW 24TH St
105
Miami, FL 33155-6540
Phone
(305) 318-0121
Fax
(305) 675-2668
NPI assigned
Jun 11, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2014

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

Authorized official

Name
Zoar Rodriguez
Title
President
Phone
(305) 318-0121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X HCC10090 FL Primary

Addresses

Primary practice location

7811 SW 24TH St
105
Miami, FL 33155-6540

Mailing address

7811 SW 24TH St
105
Miami, FL 33155-6540
Phone (305) 318-0121

Other identifiers 1

IdentifierTypeStateIssuer
FILE 10704OtherFLAHCA HCC UNIT

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1402444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402444800000",
    "number": "1144634726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7811 SW 24TH ST",
            "address_2": "105",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331556540",
            "telephone_number": "305-318-0121",
            "fax_number": "305-675-2668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7811 SW 24TH ST",
            "address_2": "105",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331556540",
            "telephone_number": "305-318-0121",
            "fax_number": "305-675-2668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SU FAMILIA MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-11",
        "last_updated": "2014-06-11",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "ZOAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-318-0121"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "HCC10090",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA HCC UNIT",
            "identifier": "FILE 10704",
            "state": "FL"
        }
    ],
    "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 11, 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.