Organization Active NPI

Hope Medical Center LLC

  • Community/Behavioral Health Agency
  • Hialeah, FL
National Provider Identifier
1356981963
Registry record updated Jan 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
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

Updated by the provider on Jan 11, 2020

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20200826002425 FL Part B Supplier - Clinic/Group Practice 0042637753 Practice locations: Hialeah, FL

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.