Fairlawn Medical Center Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

FAIRLAWN MEDICAL CENTER INC

Practice address

6465 SW 8TH St
West Miami, FL 33144-4843

Phone

(786) 444-1771

NPI assigned

Apr 12, 2007

Organization subpart

No

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

Authorized official

Name

Leopoldo Becerra

Title

President

Phone

(786) 444-1771

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222992000000",
    "number": "1376767467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6465 SW 8TH ST",
            "city": "WEST MIAMI",
            "state": "FL",
            "postal_code": "331444843",
            "telephone_number": "786-444-1771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6465 SW 8TH ST",
            "city": "WEST MIAMI",
            "state": "FL",
            "postal_code": "331444843",
            "telephone_number": "786-444-1771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRLAWN MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2008-10-03",
        "status": "A",
        "authorized_official_last_name": "BECERRA",
        "authorized_official_first_name": "LEOPOLDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-444-1771"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in West Miami, FL
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• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2008; 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.