Southwest Team Corp

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

ME0050518 Issued in FL

Legal business name

SOUTHWEST TEAM CORP

Practice address

10300 SW 72ND Ave
Suite 470B
Miami, FL 33156-3107

Phone

(786) 970-0573

NPI assigned

Mar 5, 2014

Organization subpart

No

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

Authorized official

Name

Joel Martinez, MSBA

Title

Ceo/Pres

Phone

(786) 970-0573

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1393977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393977600000",
    "number": "1366868010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10300 SW 72ND AVE",
            "address_2": "SUITE 470B",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331563107",
            "telephone_number": "786-970-0573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10300 SW 72ND AVE",
            "address_2": "SUITE 470B",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331563107",
            "telephone_number": "786-970-0573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST TEAM CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-05",
        "last_updated": "2014-03-05",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "CEO/PRES",
        "authorized_official_telephone_number": "786-970-0573",
        "authorized_official_credential": "MSBA"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME0050518",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OBAMACARE INSURANCES",
            "identifier": "SWTEAM970",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Southgate Medical of Florida, Inc.
• Southland Clinic
• Southside OB-GYN PLLC
• Southwest Drug'S, Inc.
• Southwest Miami Rehabilitative Center, Inc.
• Southwind Adult Care
• Southy Quality Services Corp
• Kimberly J Soutien, LMHC
• Janny Souto Almenteros
• Enrico Oliveira Souto, MD

• General Practice Physician in Miami, FL
• Providers in Miami, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.