Ideal Medical Center

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

506207-2 Issued in FL

Legal business name

IDEAL MEDICAL CENTER

Practice address

995 N Miami Beach Blvd
Suite 100
North Miami Beach, FL 33162-3721

Phone

(305) 957-0017

Fax

(305) 957-0015

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Wilfredo Gonzalez

Title

President

Phone

(305) 957-0017

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376655902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "995 N MIAMI BEACH BLVD",
            "address_2": "SUITE 100",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331623721",
            "telephone_number": "305-957-0017",
            "fax_number": "305-957-0015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "995 N MIAMI BEACH BLVD",
            "address_2": "SUITE 100",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331623721",
            "telephone_number": "305-957-0017",
            "fax_number": "305-957-0015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDEAL MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "WILFREDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-957-0017"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "FL",
            "license": "506207-2",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna L Hurwit, ARNP
• Handre Hurwit, M.D
• I Munique Hyler
• Icirealstate
• Ideal Diagnostic
• Ideal RX Pharmacy Jackson North Inc
• Candylein Iglesias
• Ila Dental Group
• Immune Care of North Miami Inc
• In Therapy We Trust LLC

• Health Maintenance Organization in North Miami Beach, FL
• Providers in North Miami Beach, FL by specialty
• Health Maintenance Organization in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.