Organization Active NPI

Vip Medical Clinic Corporation

  • Clinic/Center
  • Miami, FL
National Provider Identifier
1326465105
Registry record updated Mar 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
VIP MEDICAL CLINIC CORPORATION
Practice address
14850 SW 26TH St
Suite 111
Miami, FL 33185-5927
Phone
(305) 559-9200
NPI assigned
Mar 18, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2014

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

Authorized official

Name
Youdel Martinez
Title
President
Phone
(305) 559-9200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X FL Primary

Addresses

Primary practice location

14850 SW 26TH St
Suite 111
Miami, FL 33185-5927

Mailing address

14850 SW 26TH St
Suite 111
Miami, FL 33185-5927
Phone (305) 559-9200

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1395100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395100800000",
    "number": "1326465105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14850 SW 26TH ST",
            "address_2": "SUITE 111",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331855927",
            "telephone_number": "305-559-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14850 SW 26TH ST",
            "address_2": "SUITE 111",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331855927",
            "telephone_number": "305-559-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIP MEDICAL CLINIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-18",
        "last_updated": "2014-03-18",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "YOUDEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-559-9200"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": null,
            "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 Mar 18, 2014; 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.