Ideal Medical Center of Miami

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

HCC7682 Issued in FL

Legal business name

IDEAL MEDICAL CENTER OF MIAMI

Practice address

1490 NW 27TH Ave
Suite # 130
Miami, FL 33125-2157

Phone

(305) 635-7710

Fax

(305) 637-8122

NPI assigned

Sep 29, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Rodolfo Molina, M.D.

Title

Medical Director

Phone

(305) 635-7710

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1254182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254182400000",
    "number": "1336473917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1490 N.W. 27 AVENUE",
            "address_2": "SUITE # 130",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33125",
            "telephone_number": "305-635-7710",
            "fax_number": "305-637-8122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1490 NW 27TH AVE",
            "address_2": "SUITE # 130",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331252157",
            "telephone_number": "305-635-7710",
            "fax_number": "305-637-8122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDEAL MEDICAL CENTER OF MIAMI",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-29",
        "last_updated": "2009-09-29",
        "status": "A",
        "authorized_official_last_name": "MOLINA",
        "authorized_official_first_name": "RODOLFO",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "305-635-7710",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "HCC7682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ideal Dental, Inc.
• Ideal Diagnostic Center Inc
• Ideal Home Care Inc.
• Ideal Home Health, Inc
• Ideal Image of Florida, LLC
• Ideal Opticians PA
• Ideal Personnel Services, LLC
• Ideal Pharmacy Services LLC
• Idental of Miami, PLLC
• Stephanie Idiaquez

• Family Medicine Physician in Miami, FL
• Providers in Miami, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.