Active NPI
Hope Medical Center LLC
- Community/Behavioral Health Agency
- Hialeah, FL
National Provider Identifier
1356981963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- HOPE MEDICAL CENTER LLC
- Practice address
- 6500 W 4TH Ave Ste 9
Hialeah, FL 33012-6606 - Phone
- (786) 366-3324
- NPI assigned
- Jan 11, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Luis E Brossard Gonzalez
- Title
- President
- Phone
- (786) 366-3324
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
6500 W 4TH Ave Ste 9
Hialeah, FL 33012-6606
Mailing address
6500 W 4TH Ave Ste 9
Hialeah, FL 33012-6606
Phone (786) 366-3324
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200826002425 | FL | Part B Supplier - Clinic/Group Practice | 0042637753 | Practice locations: Hialeah, FL |
National Provider Directory
National Provider DirectoryLocations
6500 W 4th Ave
Ste 9
Hialeah, FL 33012
Phone (786) 366-3324
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578700800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1578700800000",
"number": "1356981963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6500 W 4TH AVE STE 9",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330126606",
"telephone_number": "786-366-3324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6500 W 4TH AVE STE 9",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330126606",
"telephone_number": "786-366-3324"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOPE MEDICAL CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-01-11",
"last_updated": "2020-01-11",
"certification_date": "2020-01-11",
"status": "A",
"authorized_official_last_name": "BROSSARD GONZALEZ",
"authorized_official_first_name": "LUIS",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "786-366-3324"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hialeah, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.