Organization Active NPI

Loyalty Medical Center, Inc.

  • Adult Medicine Physician
  • Miami, FL
National Provider Identifier
1164474052
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
HCC4413 Issued in FL
Legal business name
LOYALTY MEDICAL CENTER, INC.
Practice address
1150 NW 72ND Ave
Suite 720
Miami, FL 33126-1936
Phone
(305) 599-1990
Fax
(305) 599-1544
NPI assigned
May 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Alejandro Haber
Title
President
Phone
(305) 599-1990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QA0505X HCC4413 FL Primary

Addresses

Primary practice location

1150 NW 72ND Ave
Suite 720
Miami, FL 33126-1936

Mailing address

1150 NW 72ND Ave
Suite 720
Miami, FL 33126-1936
Phone (305) 599-1990

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164474052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 NW 72ND AVE",
            "address_2": "SUITE 720",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331261936",
            "telephone_number": "305-599-1990",
            "fax_number": "305-599-1544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 NW 72ND AVE",
            "address_2": "SUITE 720",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331261936",
            "telephone_number": "305-599-1990",
            "fax_number": "305-599-1544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOYALTY MEDICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HABER",
        "authorized_official_first_name": "ALEJANDRO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-599-1990",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": "FL",
            "license": "HCC4413",
            "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 Aug 22, 2020; 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.