Organization Active NPI

Global Health Provider Corp

  • Health Service Clinic/Center
  • Miami Lakes, FL
National Provider Identifier
1366853939
Registry record updated May 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
ME106369 Issued in FL
Legal business name
GLOBAL HEALTH PROVIDER CORP
Practice address
6001 NW 153Rd St Ste 102
Miami Lakes, FL 33014-2447
Phone
(786) 703-4918
Fax
(786) 703-4920
NPI assigned
May 16, 2014
Last updated
May 16, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2014

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

Authorized official

Name
Blanca Nelida Gonzalez, MD
Title
Medical Director
Phone
(786) 703-4918

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X ME106369 FL Primary

Addresses

Primary practice location

6001 NW 153Rd St Ste 102
Miami Lakes, FL 33014-2447

Mailing address

6001 NW 153Rd St Ste 102
Miami Lakes, FL 33014-2447
Phone (786) 703-4918

National Provider Directory

National Provider Directory

Locations

6001 NW 153rd St
Ste 102
Miami Lakes, FL 33014
Phone (305) 818-1708

NPI Registry JSON

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

{
    "created_epoch": "1400198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400198400000",
    "number": "1366853939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6001 NW 153RD ST STE 102",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142447",
            "telephone_number": "786-703-4918",
            "fax_number": "786-703-4920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6001 NW 153RD ST STE 102",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142447",
            "telephone_number": "786-703-4918",
            "fax_number": "786-703-4920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLOBAL HEALTH PROVIDER CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-16",
        "last_updated": "2014-05-16",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "BLANCA",
        "authorized_official_middle_name": "NELIDA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "786-703-4918",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "FL",
            "license": "ME106369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2014; 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.