Buena Vista Medical Center Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

BUENA VISTA MEDICAL CENTER INC

Practice address

11300 NW 87TH CT Ste 167
#167
Hialeah Gardens, FL 33018-4521

Phone

(305) 828-7520

NPI assigned

May 29, 2008

Organization subpart

No

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

Authorized official

Name

Jerry A Spiegel, MD

Title

PDT

Phone

(305) 828-7520

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212019200000",
    "number": "1205094034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11300 NW 87TH CT STE 167",
            "address_2": "#167",
            "city": "HIALEAH GARDENS",
            "state": "FL",
            "postal_code": "330184521",
            "telephone_number": "305-828-7520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11300 NW 87TH CT STE 167",
            "address_2": "#167",
            "city": "HIALEAH GARDENS",
            "state": "FL",
            "postal_code": "330184521",
            "telephone_number": "305-828-7520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUENA VISTA MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-29",
        "last_updated": "2008-05-29",
        "status": "A",
        "authorized_official_last_name": "SPIEGEL",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PDT",
        "authorized_official_telephone_number": "305-828-7520",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Hialeah Gardens, FL
• Providers in Hialeah Gardens, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; 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.