Key Largo Medical Center Corp

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

HCC 7388 Issued in FL

Legal business name

KEY LARGO MEDICAL CENTER CORP

Practice address

330 SW 27TH Ave
Ste 504
Miami, FL 33135-2961

Phone

(305) 644-5901

Fax

(305) 644-5902

NPI assigned

Oct 26, 2006

Last updated

May 22, 2008By 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

Teresa Dominguez Fernandez

Title

President

Phone

(305) 644-5901

Specialties & licenses 1

Addresses

Locations

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.

• Rafael A Pelegrin, MD

  • Family Medicine Physician
  • Miami, FL
  • NPI 1861447708
  NPD (past)

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211414400000",
    "number": "1235214230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 SW 27TH AVE",
            "address_2": "STE 504",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331352961",
            "telephone_number": "305-644-5901",
            "fax_number": "305-644-5902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 SW 27TH AVE",
            "address_2": "STE 504",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331352961",
            "telephone_number": "305-644-5901",
            "fax_number": "305-644-5902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEY LARGO MEDICAL CENTER CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2008-05-22",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "DOMINGUEZ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-644-5901"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "HCC 7388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Key Milestones Ppec, LLC
• Key Wins Therapy LLC
• Michael Key, D.O.
• David Barry Keyes, M.D.
• Keys Island Medical

• Clinic/Center in Miami, FL
• Providers in Miami, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.