Active NPI
Buen Pastor Medical Center
- General Practice Physician
- Hollywood, FL
National Provider Identifier
1184232522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- BUEN PASTOR MEDICAL CENTER
- Practice address
- 4400 Sheridan St Ste C
Hollywood, FL 33021-3514 - Phone
- (954) 882-0191
- NPI assigned
- Jul 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Gabriel G Florez, MD
- Title
- President
- Phone
- (954) 882-0191
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
4400 Sheridan St Ste C
Hollywood, FL 33021-3514
Mailing address
4400 Sheridan St Ste C
Hollywood, FL 33021-3514
Phone (954) 882-0191
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HCC12260 | Other | FL | AHCA LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | gabrielflorez98@hotmail.com | Direct |
National Provider Directory
National Provider DirectoryLocations
4400 Sheridan St
Ste C
Hollywood, FL 33021
Phone (954) 882-0191
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595376000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1685491200000",
"number": "1184232522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4400 SHERIDAN ST STE C",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330213514",
"telephone_number": "954-882-0191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4400 SHERIDAN ST STE C",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330213514",
"telephone_number": "954-882-0191"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BUEN PASTOR MEDICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2020-07-22",
"last_updated": "2023-05-31",
"certification_date": "2023-05-31",
"status": "A",
"authorized_official_last_name": "FLOREZ",
"authorized_official_first_name": "GABRIEL",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "954-882-0191",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AHCA LICENSE",
"identifier": "HCC12260",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "gabrielflorez98@hotmail.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "4400 Sheridan St Ste C",
"city": "Hollywood",
"state": "FL",
"country_code": "US",
"postal_code": "330213514",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Hollywood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.