Bermudez Medical Center Corp

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

ME91458 Issued in FL

Legal business name

BERMUDEZ MEDICAL CENTER CORP

Practice address

2908 W Waters Ave Ste 101
Tampa, FL 33614-1874

Phone

(813) 443-9945

NPI assigned

May 11, 2015

Organization subpart

No

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

Authorized official

Name

Lidia Bermudez, MDNPI 1730250663

Title

President

Phone

(305) 805-6903

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

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

• Lidia Rosa Bermudez, MD

  • Adult Medicine Physician
  • Hialeah, FL
  • NPI 1730250663
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1431302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681084800000",
    "number": "1295113264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7376 NW 35TH TER",
            "address_2": "SUITE 104",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331221241",
            "telephone_number": "305-805-6903",
            "fax_number": "305-805-6918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2908 W WATERS AVE STE 101",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336141874",
            "telephone_number": "813-443-9945"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7376 NW 35th Ter",
            "address_2": "suite 104",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331221241",
            "country_code": "US",
            "telephone_number": "305-805-6903",
            "fax_number": "305-805-6918",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BERMUDEZ MEDICAL CENTER CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-11",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-10",
        "status": "A",
        "authorized_official_last_name": "BERMUDEZ",
        "authorized_official_first_name": "LIDIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-805-6903",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "ME91458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Berman, BS
• Isabella Bermingham, MD
• Diana Rosa Bermudez Gonzalez, RBT-24-328134
• Orisneldys Bermudez Gutierrez
• Aliuska Bermudez Lopez
• Aleksander David Bermudez, MD
• Bernadine'S House, LLC
• Angelica Maria Bernal, APRN, FNP-BC
• Ellen Bernal, A.R.N.P.
• Hernando Bernal, M.D.

• Clinic/Center in Tampa, FL
• Providers in Tampa, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.