Organization Active NPI

Campillo Medical Center Inc

  • Health Service Clinic/Center
  • Miami, FL
National Provider Identifier
1245579333
Registry record updated Feb 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
ME64856 Issued in FL
Legal business name
CAMPILLO MEDICAL CENTER INC
Practice address
1224 NW 29TH St
Miami, FL 33142-6618
Phone
(786) 953-6165
NPI assigned
Feb 8, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2013

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

Authorized official

Name
Luis M Campillo
Title
President
Phone
(786) 953-6165

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X ME64856 FL Primary

Addresses

Primary practice location

1224 NW 29TH St
Miami, FL 33142-6618

Mailing address

1224 NW 29TH St
Miami, FL 33142-6618
Phone (786) 953-6165

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1360281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360281600000",
    "number": "1245579333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1224 NW 29TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331426618",
            "telephone_number": "786-953-6165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1224 NW 29TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331426618",
            "telephone_number": "786-953-6165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMPILLO MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-08",
        "last_updated": "2013-02-08",
        "status": "A",
        "authorized_official_last_name": "CAMPILLO",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-953-6165"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "FL",
            "license": "ME64856",
            "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 Feb 8, 2013; 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.