West Miami Medical Center LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

WEST MIAMI MEDICAL CENTER LLC

Practice address

1350 SW 57TH Ave Ste 101
West Miami, FL 33144-5775

Phone

(305) 614-3002

Fax

(305) 614-3889

NPI assigned

Jan 3, 2020

Organization subpart

No

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

Authorized official

Name

Jose Enrique Camejo

Title

Owner

Phone

(305) 721-0940

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1578009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578009600000",
    "number": "1194364497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 SW 57TH AVE STE 101",
            "city": "WEST MIAMI",
            "state": "FL",
            "postal_code": "331445775",
            "telephone_number": "305-721-0940",
            "fax_number": "305-614-3889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 SW 57TH AVE STE 101",
            "city": "WEST MIAMI",
            "state": "FL",
            "postal_code": "331445775",
            "telephone_number": "305-614-3002",
            "fax_number": "305-614-3889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST MIAMI MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-03",
        "last_updated": "2020-01-03",
        "certification_date": "2020-01-03",
        "status": "A",
        "authorized_official_last_name": "CAMEJO",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "ENRIQUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-721-0940"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Multi-Specialty Clinic/Center in West Miami, FL
• Providers in West Miami, FL by specialty
• Multi-Specialty Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.