Caribe Medical of Homestead, Inc.

Organization Active NPI General Practice Physician · Naranja, FL

NPI 1326325655 · NPPES record last updated Nov 15, 2011

Key facts

NPI
1326325655
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Physician 208D00000X
License
ME87046 (FL)
Legal business name
CARIBE MEDICAL OF HOMESTEAD, INC.
Practice address
26799 S Dixie Hwy
Naranja, FL 33032-7403
Phone
(305) 258-6070
Fax
(305) 598-0583
NPI assigned
Nov 15, 2011
Organization subpart
No

Authorized official

Name
Mario R Palomino, M.D.
Title
Vice President
Phone
(305) 258-6070

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Caribe Medical Center of Homestead (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician
Group: 193400000X SINGLE SPECIALTY GROUP
208D00000X ME87046 FL Yes

Addresses

Primary practice location

26799 S Dixie Hwy
Naranja, FL 33032-7403

Mailing address

26799 S Dixie Hwy
Naranja, FL 33032-7403
Phone (305) 258-6070

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 15, 2011.

{
    "created_epoch": "1321315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321315200000",
    "number": "1326325655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26799 S DIXIE HWY",
            "city": "NARANJA",
            "state": "FL",
            "postal_code": "330327403",
            "telephone_number": "305-258-6070",
            "fax_number": "305-598-0583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26799 S DIXIE HWY",
            "city": "NARANJA",
            "state": "FL",
            "postal_code": "330327403",
            "telephone_number": "305-258-6070",
            "fax_number": "305-598-0583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARIBE MEDICAL OF HOMESTEAD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-15",
        "last_updated": "2011-11-15",
        "status": "A",
        "authorized_official_last_name": "PALOMINO",
        "authorized_official_first_name": "MARIO",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "305-258-6070",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME87046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naranja, FL

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Sources for this page

Verify at the official NPI Registry.