Health Depot Inc

Primary specialty

Student Health Clinic/CenterTaxonomy code 261QS1000X

License

P98000009728 Issued in FL

Legal business name

HEALTH DEPOT INC

Practice address

7919 NE 2ND Ave
Miami, FL 33138

Phone

(305) 756-4490

Fax

(305) 756-4493

NPI assigned

May 3, 2007

Last updated

Nov 9, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Val A. Duruibe, MD, PH.D

Title

Director, Ceo

Phone

(305) 756-4490

Specialties & licenses 1

Addresses

Other names 1

• HDI-Health Promotion Other name

Locations

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194566400000",
    "number": "1326260928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P. O. BOX 399124",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "332399124",
            "telephone_number": "305-756-4490",
            "fax_number": "305-756-4493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7919 NE 2ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33138",
            "telephone_number": "305-756-4490",
            "fax_number": "305-756-4493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH DEPOT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2007-11-09",
        "status": "A",
        "authorized_official_last_name": "DURUIBE",
        "authorized_official_first_name": "VAL",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "DIRECTOR, CEO",
        "authorized_official_telephone_number": "305-756-4490",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, PH.D"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "FL",
            "license": "P98000009728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HDI-Health Promotion",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Student Health Clinic/Center in Miami, FL
• Providers in Miami, FL by specialty
• Student Health Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2007; 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.