NPIMap

Organization Active NPI

United Medical of South Florida

  • Health Service Clinic/Center
  • Miami, FL
National Provider Identifier
1154749448
Registry record updated Sep 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
HCC9823 Issued in FL
Legal business name
UNITED MEDICAL OF SOUTH FLORIDA
Practice address
14750 SW 26TH St Ste 213
Miami, FL 33185-5937
Phone
(786) 476-7314
Fax
(786) 476-7315
NPI assigned
Apr 3, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2014

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

Authorized official

Name
Mario Alberto Jimenez, MD
Title
Medical Director
Phone
(786) 476-7314

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X HCC9823 FL Primary

Addresses

Primary practice location

14750 SW 26TH St Ste 213
Miami, FL 33185-5937

Mailing address

14750 SW 26TH St Ste 213
Miami, FL 33185-5937
Phone (786) 476-7314

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1396483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410998400000",
    "number": "1154749448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14750 SW 26TH ST STE 213",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331855937",
            "telephone_number": "786-476-7314",
            "fax_number": "786-476-7315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14750 SW 26TH ST STE 213",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331855937",
            "telephone_number": "786-476-7314",
            "fax_number": "786-476-7315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED MEDICAL OF SOUTH FLORIDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-03",
        "last_updated": "2014-09-18",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ",
        "authorized_official_first_name": "MARIO",
        "authorized_official_middle_name": "ALBERTO",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "786-476-7314",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "FL",
            "license": "HCC9823",
            "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 Sep 18, 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.