NPIMap

Organization Active NPI

Life Homestead Medical Center Corp.

  • Clinic/Center
  • Miami, FL
National Provider Identifier
1336536846
Registry record updated Apr 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
LIFE HOMESTEAD MEDICAL CENTER CORP.
Practice address
13701 SW 88TH St Ste 303a
Miami, FL 33186-1309
Phone
(786) 534-5090
Fax
(786) 534-5090
NPI assigned
Apr 22, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2015

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

Authorized official

Name
Martha Gonzalez
Title
President
Phone
(786) 534-5090

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

13701 SW 88TH St Ste 303a
Miami, FL 33186-1309

Mailing address

13701 SW 88TH St Ste 303a
Miami, FL 33186-1309
Phone (786) 534-5090

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1429660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429660800000",
    "number": "1336536846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13701 SW 88TH ST STE 303A",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331861309",
            "telephone_number": "786-534-5090",
            "fax_number": "786-534-5090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13701 SW 88TH ST STE 303A",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331861309",
            "telephone_number": "786-534-5090",
            "fax_number": "786-534-5090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE HOMESTEAD MEDICAL CENTER CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-22",
        "last_updated": "2015-04-22",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-534-5090"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "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 Apr 22, 2015; 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.