Cutler Bay Medical & Diagnostic Center Corp

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

CUTLER BAY MEDICAL & DIAGNOSTIC CENTER CORP

Practice address

20525 SW 82ND CT
Cutler Bay, FL 33189-2632

Phone

(305) 812-6875

Fax

(786) 732-0637

NPI assigned

Nov 6, 2013

Last updated

Nov 6, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mirna Escoto

Title

President

Phone

(305) 812-6875

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1383696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383696000000",
    "number": "1164851515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20525 SW 82ND CT",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331892632",
            "telephone_number": "305-812-6875",
            "fax_number": "786-732-0637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20525 SW 82ND CT",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331892632",
            "telephone_number": "305-812-6875",
            "fax_number": "786-732-0637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUTLER BAY MEDICAL & DIAGNOSTIC CENTER CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-06",
        "last_updated": "2013-11-06",
        "status": "A",
        "authorized_official_last_name": "ESCOTO",
        "authorized_official_first_name": "MIRNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-812-6875"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Service Clinic/Center in Cutler Bay, FL
• Providers in Cutler Bay, FL by specialty
• Health Service Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2013; 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.