Organization Active NPI

Madrina Medical Center, Inc

  • Health Service Clinic/Center
  • Doral, FL
National Provider Identifier
1164565685
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
7771 Issued in FL
Legal business name
MADRINA MEDICAL CENTER, INC
Practice address
3900 NW 79TH Ave Ste 430
Doral, FL 33166-6599
Phone
(786) 235-7143
NPI assigned
Feb 15, 2007
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
Caridad Dominguez
Title
President
Phone
(786) 331-7769

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 7771 FL Primary

Addresses

Primary practice location

3900 NW 79TH Ave Ste 430
Doral, FL 33166-6599

Mailing address

3900 NW 79TH Ave Ste 430
Doral, FL 33166-6599
Phone (786) 235-7143

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164565685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 NW 79TH AVE STE 430",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666599",
            "telephone_number": "786-235-7143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 NW 79TH AVE STE 430",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666599",
            "telephone_number": "786-235-7143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADRINA MEDICAL CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DOMINGUEZ",
        "authorized_official_first_name": "CARIDAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-331-7769"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "FL",
            "license": "7771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, 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.