Jackson Medical Center Corp

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

HCC6855 Issued in FL

Legal business name

JACKSON MEDICAL CENTER CORP

Practice address

138 NE 1St Ave
2 Floor
Miami, FL 33132-2106

Phone

(305) 416-0014

Fax

(305) 416-0013

NPI assigned

May 25, 2006

Organization subpart

No

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

Authorized official

Name

Jorge L Leon

Title

Owner

Phone

(305) 416-0014

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Yusuf Rajabalee Sr., MD

  • General Practice Physician
  • Miami, FL
  • NPI 1487677720
  NPD (past)

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306892179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 NE 1ST AVE",
            "address_2": "2 FLOOR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331322106",
            "telephone_number": "305-416-0014",
            "fax_number": "305-416-0013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 NE 1ST AVE",
            "address_2": "2 FLOOR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331322106",
            "telephone_number": "305-416-0014",
            "fax_number": "305-416-0013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON MEDICAL CENTER CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEON",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-416-0014"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "HCC6855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jackson Health System
• Jackson Health System
• Jackson Heights NH, L.L.C.
• Jackson Heights Nursing and Rehab LLC
• Jackson Hospital
• Jackson Medical Office LLC
• Jackson Medical Therapy Center
• Jackson Mem Hos
• Jackson Memorial Hospital
• Jackson Memorial Hospital

• 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 Aug 22, 2020; 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.