Organization Active NPI

Estrella Medical Center

  • General Practice Physician
  • Miami, FL
National Provider Identifier
1205865599
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
HCC7072 Issued in FL
Legal business name
ESTRELLA MEDICAL CENTER
Practice address
9664 SW 24TH St
Miami, FL 33165-8015
Phone
(305) 207-6841
Fax
(305) 207-6842
NPI assigned
Jul 1, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Saydis Valiente
Title
President
Phone
(305) 207-6841

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X HCC7072 FL Primary

Addresses

Primary practice location

9664 SW 24TH St
Miami, FL 33165-8015

Mailing address

9664 SW 24TH St
Miami, FL 33165-8015
Phone (305) 207-6841

National Provider Directory

National Provider Directory

Locations

9664 SW 24th St
Miami, FL 33165
Phone (305) 207-6841

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205865599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9664 SW 24TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331658015",
            "telephone_number": "305-207-6841",
            "fax_number": "305-207-6842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9664 SW 24TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331658015",
            "telephone_number": "305-207-6841",
            "fax_number": "305-207-6842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESTRELLA MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VALIENTE",
        "authorized_official_first_name": "SAYDIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-207-6841",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "HCC7072",
            "primary": true
        }
    ],
    "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 Aug 22, 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.