Organization Active NPI

Jenn Medical Center Corp

  • Community/Behavioral Health Agency
  • Miami, FL
National Provider Identifier
1215502273
Registry record updated May 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
JENN MEDICAL CENTER CORP
Practice address
14758 SW 56TH St
Miami, FL 33185-4067
Phone
(786) 647-6183
NPI assigned
May 23, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2021

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

Authorized official

Name
Erasmo Casanas Alvarez
Title
President
Phone
(786) 647-6183

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

14758 SW 56TH St
Miami, FL 33185-4067

Mailing address

14758 SW 56TH St
Miami, FL 33185-4067
Phone (786) 647-6183

National Provider Directory

National Provider Directory

Locations

14758 SW 56th St
Miami, FL 33185
Phone (786) 520-7792

NPI Registry JSON

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

{
    "created_epoch": "1621728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621728000000",
    "number": "1215502273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14758 SW 56TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331854067",
            "telephone_number": "786-647-6183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14758 SW 56TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331854067",
            "telephone_number": "786-647-6183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENN MEDICAL CENTER CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-23",
        "last_updated": "2021-05-23",
        "certification_date": "2021-05-23",
        "status": "A",
        "authorized_official_last_name": "CASANAS ALVAREZ",
        "authorized_official_first_name": "ERASMO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-647-6183"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "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 May 23, 2021; 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.