South East Medical Center of Miami Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

SOUTH EAST MEDICAL CENTER OF MIAMI INC

Practice address

1800 SW 1St St
Suite 320
Miami, FL 33135-1960

Phone

(305) 644-2944

Fax

(305) 644-2755

NPI assigned

Jul 10, 2008

Organization subpart

No

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

Authorized official

Name

Michel Pupo

Title

PDT

Phone

(305) 644-2944

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1215648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215648000000",
    "number": "1285898007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 SW 1ST ST",
            "address_2": "SUITE 320",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331351960",
            "telephone_number": "305-644-2944",
            "fax_number": "305-644-2755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 SW 1ST ST",
            "address_2": "SUITE 320",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331351960",
            "telephone_number": "305-644-2944",
            "fax_number": "305-644-2755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH EAST MEDICAL CENTER OF MIAMI INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-10",
        "last_updated": "2008-07-10",
        "status": "A",
        "authorized_official_last_name": "PUPO",
        "authorized_official_first_name": "MICHEL",
        "authorized_official_title_or_position": "PDT",
        "authorized_official_telephone_number": "305-644-2944"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Miami, FL
• Providers in Miami, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.