Organization Active NPI

Bale Medical Center Corp

  • Family Medicine Physician
  • Miami, FL
National Provider Identifier
1376618090
Registry record updated Dec 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
BALE MEDICAL CENTER CORP
Practice address
11020 SW 88TH St Ste 100
Miami, FL 33176-1217
Phone
(305) 630-9295
Fax
(305) 630-9296
NPI assigned
Nov 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2010

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

Authorized official

Name
Mrs. Matilde Sandino
Title
Owner
Phone
(305) 630-9295

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

11020 SW 88TH St Ste 100
Miami, FL 33176-1217

Mailing address

11020 SW 88TH St Ste 100
Miami, FL 33176-1217
Phone (305) 630-9295

National Provider Directory

National Provider Directory

Locations

10700 N Kendall Dr
Ste 207
Miami, FL 33176
Phone (305) 630-9295

11020 SW 88th St
Ste 200
Miami, FL 33176
Phone (305) 630-9295

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293667200000",
    "number": "1376618090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11020 SW 88TH ST STE 100",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331761217",
            "telephone_number": "305-630-9295",
            "fax_number": "305-630-9296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11020 SW 88TH ST STE 100",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331761217",
            "telephone_number": "305-630-9295",
            "fax_number": "305-630-9296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALE MEDICAL CENTER CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2010-12-30",
        "status": "A",
        "authorized_official_last_name": "SANDINO",
        "authorized_official_first_name": "MATILDE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-630-9295",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2010; 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.