Athennas Medical Center, Inc

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

ATHENNAS MEDICAL CENTER, INC

Practice address

633 NE 167TH St
Suite 1111
North Miami Beach, FL 33162-2442

Phone

(305) 493-4659

Fax

(305) 493-4660

NPI assigned

May 19, 2006

Last updated

Aug 22, 2020By 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

Mrs. Dahimy Avila

Title

President

Phone

(305) 493-4659

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dahimy Avila Rodriguez, ARNP-MSN-NPC

  • Family Nurse Practitioner
  • Miami, FL
  • NPI 1093285827
  NPD (past)

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346294949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 NE 167TH ST",
            "address_2": "SUITE 1111",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331622442",
            "telephone_number": "305-493-4659",
            "fax_number": "305-493-4660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 NE 167TH ST",
            "address_2": "SUITE 1111",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331622442",
            "telephone_number": "305-493-4659",
            "fax_number": "305-493-4660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATHENNAS MEDICAL CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AVILA",
        "authorized_official_first_name": "DAHIMY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-493-4659",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in North Miami Beach, FL
• Providers in North Miami Beach, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.