Organization Active NPI

Flagler Medical & Diagnostic Center Inc

  • General Practice Physician
  • Coral Gables, FL
National Provider Identifier
1346519089
Registry record updated Dec 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME23012 Issued in FL
Legal business name
FLAGLER MEDICAL & DIAGNOSTIC CENTER INC
Practice address
4699 W Flagler St
Coral Gables, FL 33134-1512
Phone
(305) 461-0799
Fax
(305) 461-0775
NPI assigned
Dec 27, 2011
Last updated
Dec 27, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2011

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

Authorized official

Name
Jose Valiente, MD
Title
Owner
Phone
(305) 461-0799

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ME23012 FL Primary

Addresses

Primary practice location

4699 W Flagler St
Coral Gables, FL 33134-1512

Mailing address

4699 W Flagler St
Coral Gables, FL 33134-1512
Phone (305) 461-0799

National Provider Directory

National Provider Directory

Locations

4699 W Flagler St
Coral Gables, FL 33134
Phone (305) 461-0799

NPI Registry JSON

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

{
    "created_epoch": "1324944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324944000000",
    "number": "1346519089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4699 W FLAGLER ST",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331341512",
            "telephone_number": "305-461-0799",
            "fax_number": "305-461-0775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4699 W FLAGLER ST",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331341512",
            "telephone_number": "305-461-0799",
            "fax_number": "305-461-0775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLAGLER MEDICAL & DIAGNOSTIC CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-27",
        "last_updated": "2011-12-27",
        "status": "A",
        "authorized_official_last_name": "VALIENTE",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-461-0799",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME23012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2011; 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.