Sam Medical Center Corp.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

MA 51624 Issued in FL

Legal business name

SAM MEDICAL CENTER CORP.

Practice address

330 SW 27TH Ave Ste 301
Miami, FL 33135-2957

Phone

(786) 431-5905

Fax

(786) 431-5908

NPI assigned

Jul 10, 2009

Last updated

Jul 10, 2009By 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

Mr. Pablo Sicilia, MR

Title

President

Phone

(786) 431-5905

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1247184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247184000000",
    "number": "1336378322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 SW 27TH AVE STE 301",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331352957",
            "telephone_number": "786-431-5905",
            "fax_number": "786-431-5908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 SW 27TH AVE STE 301",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331352957",
            "telephone_number": "786-431-5905",
            "fax_number": "786-431-5908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAM MEDICAL CENTER CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-10",
        "last_updated": "2009-07-10",
        "status": "A",
        "authorized_official_last_name": "SICILIA",
        "authorized_official_first_name": "PABLO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-431-5905",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MR"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "MA 51624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fernando Salvato, M.D.
• Melissa Salvatore, CRNA
• Yeine Salvo Rosquete
• Salvus LLC
• George B Salzberg, M.D.
• Andy Sam, DO
• Aymara Sam
• Janeth Marie Sam, COTA
• Pedro Donosso Sam, LMHC
• Carlos Lorenzo Sama II, LMT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.