NPIMap

Organization Active NPI

Jac Medical Center, Inc

  • Clinic/Center
  • Hialeah Gardens, FL
National Provider Identifier
1275950180
Registry record updated Mar 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
HCC9144 Issued in FL
Legal business name
JAC MEDICAL CENTER, INC
Practice address
11093 NW 138TH St
Ste 123
Hialeah Gardens, FL 33018-1153
Phone
(305) 380-8717
NPI assigned
Mar 28, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2014

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

Authorized official

Name
Mr. Carlos Martinez
Title
President
Phone
(305) 380-8717

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X HCC9144 FL Primary

Addresses

Primary practice location

11093 NW 138TH St
Ste 123
Hialeah Gardens, FL 33018-1153

Mailing address

11093 NW 138TH St
Ste 123
Hialeah Gardens, FL 33018-1153
Phone (305) 380-8717

National Provider Directory

National Provider Directory
Tax ID family
Jac Medical Center Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

11093 NW 138th St
Unit 123
Hialeah Gardens, FL 33018
Phone (305) 380-8717

NPI Registry JSON

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

{
    "created_epoch": "1395964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395964800000",
    "number": "1275950180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11093 NW 138TH ST",
            "address_2": "STE 123",
            "city": "HIALEAH GARDENS",
            "state": "FL",
            "postal_code": "330181153",
            "telephone_number": "305-380-8717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11093 NW 138TH ST",
            "address_2": "STE 123",
            "city": "HIALEAH GARDENS",
            "state": "FL",
            "postal_code": "330181153",
            "telephone_number": "305-380-8717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAC MEDICAL CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-28",
        "last_updated": "2014-03-28",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-380-8717",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "HCC9144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2014; 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.