Memorial Regional Hospital Hollywood Florida

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

9292534 Issued in FL

Legal business name

MEMORIAL REGIONAL HOSPITAL HOLLYWOOD FLORIDA

Doing business as

Memorial Healthcare System

Practice address

1150 SW 189TH Ave
Pembroke Pines, FL 33029-6050

Phone

(954) 450-0399

NPI assigned

Jun 11, 2010

Last updated

Jun 11, 2010By 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

Dr. Juan Luis Segura, R.N.NPI 1801109335

Title

Surgical Assistant

Phone

(954) 249-7581

Specialties & licenses 1

Addresses

Other names 1

• Memorial Healthcare System Doing business as

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Juan Luis Segura, ARNP

  • Acute Care Nurse Practitioner
  • Hollywood, FL
  • NPI 1801109335
  Authorized official Same address or phone
• Michael Francis Walsh II, MD

  • Student in an Organized Health Care Education/Training Program
  • Pembroke Pines, FL
  • NPI 1912567116
  NPD (past)

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

{
    "created_epoch": "1276214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276214400000",
    "number": "1205156304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 SW 189TH AVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330296050",
            "telephone_number": "954-450-0399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 SW 189TH AVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330296050",
            "telephone_number": "954-450-0399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL REGIONAL HOSPITAL HOLLYWOOD FLORIDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-11",
        "last_updated": "2010-06-11",
        "status": "A",
        "authorized_official_last_name": "SEGURA",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "LUIS",
        "authorized_official_title_or_position": "SURGICAL ASSISTANT",
        "authorized_official_telephone_number": "954-249-7581",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "FL",
            "license": "9292534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Memorial Healthcare System",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melvin D Ross MD PA
• Melvyn H. Rech, D.O., P.a.
• Farmeel Faizal Memon
• Memorial Healthcare System
• Memorial Medical Group of South Florida (Osenia Mental Health & Wellness)
• Kelly Mena Gomez
• Akeymi Mena, MASSAGE THERAPIST
• Evodie Menard
• Elana Mendelssohn, PSYD
• Daniel Mendes

• General Acute Care Hospital in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• General Acute Care Hospital in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2010; 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.