Medley Social Club Inc

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

MEDLEY SOCIAL CLUB INC

Practice address

7911 NW 72ND Ave Ste 108109
Medley, FL 33166-2227

Phone

(786) 781-2013

Fax

(305) 887-1092

NPI assigned

Sep 1, 2020

Organization subpart

No

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

Authorized official

Name

Mrs. Dayamanty Pino

Title

Owner

Phone

(786) 781-2013

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1598918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598918400000",
    "number": "1316551062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7911 NW 72ND AVE STE 108109",
            "city": "MEDLEY",
            "state": "FL",
            "postal_code": "331662227",
            "telephone_number": "786-781-2013",
            "fax_number": "305-887-1092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7911 NW 72ND AVE STE 108109",
            "city": "MEDLEY",
            "state": "FL",
            "postal_code": "331662227",
            "telephone_number": "786-781-2013",
            "fax_number": "305-887-1092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDLEY SOCIAL CLUB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-01",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A",
        "authorized_official_last_name": "PINO",
        "authorized_official_first_name": "DAYAMANTY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-781-2013",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9454",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Niurka Medina
• Susel Medina
• Medley Medical Equipment, Inc.
• Medley Pain and Rehabilitation Center Inc
• Medley Research Associates Corp
• Maria Concepcion Mendoza Cavero, DDS
• Mind and Soul Medical Therapy Inc.
• Maricela Morejon, FNP
• Moya-Prida MD (Moya Medical of Medley)
• Michael Munoz, PMD

• Adult Day Care Clinic/Center in Medley, FL
• Providers in Medley, FL by specialty
• Adult Day Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.