Organization Active NPI

Nostrum Medical Center West Dade LLC

  • General Practice Physician
  • Miami, FL
National Provider Identifier
1285901926
Registry record updated Nov 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
NOSTRUM MEDICAL CENTER WEST DADE LLC
Practice address
4155 SW 130TH Ave Ste 102
Miami, FL 33175-3414
Phone
(305) 223-3580
Fax
(305) 223-3582
NPI assigned
Nov 23, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2011

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

Authorized official

Name
Jose A Esnard, M.D.
Title
President
Phone
(305) 223-3580

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

4155 SW 130TH Ave Ste 102
Miami, FL 33175-3414

Mailing address

4155 SW 130TH Ave Ste 102
Miami, FL 33175-3414
Phone (305) 223-3580

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1322006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322006400000",
    "number": "1285901926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4155 SW 130TH AVE STE 102",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753414",
            "telephone_number": "305-223-3580",
            "fax_number": "305-223-3582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4155 SW 130TH AVE STE 102",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753414",
            "telephone_number": "305-223-3580",
            "fax_number": "305-223-3582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOSTRUM MEDICAL CENTER WEST DADE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-23",
        "last_updated": "2011-11-23",
        "status": "A",
        "authorized_official_last_name": "ESNARD",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-223-3580",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "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 Nov 23, 2011; 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.