Organization Active NPI

Buenaventura Medical Center Inc

  • Family Medicine Physician
  • Miami, FL
National Provider Identifier
1306893011
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
HCC6910 Issued in FL
Legal business name
BUENAVENTURA MEDICAL CENTER INC
Practice address
12305 SW 112TH St
Miami, FL 33186-4822
Phone
(305) 274-7335
Fax
(305) 274-7336
NPI assigned
May 28, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Michael Marti
Title
President
Phone
(305) 274-7335

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X
Family Medicine Physician 207Q00000X HCC6910 FL Primary

Addresses

Primary practice location

12305 SW 112TH St
Miami, FL 33186-4822

Mailing address

12305 SW 112TH St
Miami, FL 33186-4822
Phone (305) 274-7335

National Provider Directory

National Provider Directory

Locations

12305 SW 112th St
Miami, FL 33186
Phone (305) 274-7335

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306893011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12305 SW 112TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331864822",
            "telephone_number": "305-274-7335",
            "fax_number": "305-274-7336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12305 SW 112TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331864822",
            "telephone_number": "305-274-7335",
            "fax_number": "305-274-7336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUENAVENTURA MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARTI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-274-7335"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "HCC6910",
            "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 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.