Active NPI
Maos Medical Center Inc
- Clinic/Center
- Miami, FL
National Provider Identifier
1194312611
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- MAOS MEDICAL CENTER INC
- Practice address
- 7821 SW 24TH St Ste 101
Miami, FL 33155-6542 - Phone
- (305) 916-6231
- Fax
- (305) 916-6232
- NPI assigned
- Dec 30, 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
- Mr. Raudel Alfonso
- Title
- Owner
- Phone
- (305) 916-6231
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | |||
| Diagnostic Radiology Physician | 2085R0202X | |||
| Community/Behavioral Health Agency | 251S00000X | |||
| Clinic/Center | 261Q00000X | Primary | ||
| Community Health Clinic/Center | 261QC1500X | |||
| Multi-Specialty Clinic/Center | 261QM1300X | |||
| Rehabilitation Clinic/Center | 261QR0400X |
Addresses
Primary practice location
7821 SW 24TH St Ste 101
Miami, FL 33155-6542
Mailing address
7821 SW 24TH St Ste 101
Miami, FL 33155-6542
Phone (305) 916-6231
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609286400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1674691200000",
"number": "1194312611",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7821 SW 24TH ST STE 101",
"city": "MIAMI",
"state": "FL",
"postal_code": "331556542",
"telephone_number": "305-916-6231",
"fax_number": "305-916-6232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7821 SW 24TH ST STE 101",
"city": "MIAMI",
"state": "FL",
"postal_code": "331556542",
"telephone_number": "305-916-6231",
"fax_number": "305-916-6232"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAOS MEDICAL CENTER INC",
"organizational_subpart": "NO",
"enumeration_date": "2020-12-30",
"last_updated": "2023-01-26",
"certification_date": "2023-01-26",
"status": "A",
"authorized_official_last_name": "ALFONSO",
"authorized_official_first_name": "RAUDEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "305-916-6231",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QC1500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Community Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation",
"state": null,
"license": null,
"primary": false
}
],
"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 Jan 26, 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.