Organization Active NPI

Geriatric Healthcare Center Inc

  • Internal Medicine Physician
  • Tampa, FL
National Provider Identifier
1316110190
Registry record updated Feb 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME91793 Issued in FL
Legal business name
GERIATRIC HEALTHCARE CENTER INC
Practice address
6331 Memorial Hwy
Tampa, FL 33615-4537
Phone
(813) 884-3678
Fax
(813) 884-3690
NPI assigned
Apr 11, 2008
Last updated
Feb 3, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2009

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

Authorized official

Name
Dr. Carlos Alberto Salazar, MD
Title
President
Phone
(813) 751-7557

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME91793 FL Primary

Addresses

Primary practice location

6331 Memorial Hwy
Tampa, FL 33615-4537

Mailing address

6331 Memorial Hwy
Tampa, FL 33615-4537
Phone (813) 884-3678

Other identifiers 1

IdentifierTypeStateIssuer
ME91793OtherFLLICENSE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1207872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233619200000",
    "number": "1316110190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6331 MEMORIAL HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336154537",
            "telephone_number": "813-884-3678",
            "fax_number": "813-884-3690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6331 MEMORIAL HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336154537",
            "telephone_number": "813-884-3678",
            "fax_number": "813-884-3690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERIATRIC HEALTHCARE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-11",
        "last_updated": "2009-02-03",
        "status": "A",
        "authorized_official_last_name": "SALAZAR",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "ALBERTO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-751-7557",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME91793",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "ME91793",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2009; 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.