Organization Active NPI

Terrero Medical Center LLC

  • Internal Medicine Physician
  • Sunrise, FL
National Provider Identifier
1235309857
Registry record updated Jun 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME 95311 Issued in FL
Legal business name
TERRERO MEDICAL CENTER LLC
Practice address
12651 W Sunrise Blvd
Sunrise, FL 33323-0906
Phone
(954) 514-0995
Fax
(954) 514-0994
NPI assigned
Mar 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2008

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

Authorized official

Name
Alfredo Terrero-Fernandez, MD
Title
MD
Phone
(954) 838-7543

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME 95311 FL Primary

Addresses

Primary practice location

12651 W Sunrise Blvd
Sunrise, FL 33323-0906

Mailing address

12651 W Sunrise Blvd
Sunrise, FL 33323-0906
Phone (954) 514-0995

National Provider Directory

National Provider Directory

Locations

12651 W Sunrise Blvd
Sunrise, FL 33323
Phone (954) 356-2721

12651 W Sunrise Blvd
Ste 301
Sunrise, FL 33323
Phone (954) 514-0995

NPI Registry JSON

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

{
    "created_epoch": "1205193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212364800000",
    "number": "1235309857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12651 W SUNRISE BLVD",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333230906",
            "telephone_number": "954-514-0995",
            "fax_number": "954-514-0994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12651 W SUNRISE BLVD",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333230906",
            "telephone_number": "954-514-0995",
            "fax_number": "954-514-0994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRERO MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-11",
        "last_updated": "2008-06-02",
        "status": "A",
        "authorized_official_last_name": "TERRERO-FERNANDEZ",
        "authorized_official_first_name": "ALFREDO",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "954-838-7543",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME 95311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunrise, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.