Medscripts Coral Way Dispensary

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

ME107835 Issued in FL

Legal business name

MEDSCRIPTS CORAL WAY DISPENSARY

Practice address

11825 SW 26TH St
Miami, FL 33175-2464

Phone

(305) 266-2929

NPI assigned

May 20, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Jose Felipe Haber, M.D.

Title

Medical Director

Phone

(305) 266-2929

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Medcare Westchester Quality Medical Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Medcare Westchester Quality Medical Center

  • Clinic/Center
  • Miami, FL
  • NPI 1649681925
  NPD tax ID

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

{
    "created_epoch": "1432080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432080000000",
    "number": "1376922674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11825 SW 26TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331752464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11825 SW 26TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331752464",
            "telephone_number": "305-266-2929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDSCRIPTS CORAL WAY DISPENSARY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-20",
        "last_updated": "2015-05-20",
        "status": "A",
        "authorized_official_last_name": "HABER",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "FELIPE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "305-266-2929",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "ME107835",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002655800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melanie Victoria Medrano, LMHC
• Sergio Ruben Medrano, P.A.
• Medrite Medical Care PC
• Medrite Primary LLC
• Medscape Home Health Care Inc.
• Medsearch, Inc.
• Medserv Direct, Inc.
• Medserve of Dade County
• Medsource Consultants LLC
• Medstar of Florida Corporation

• Clinic/Center in Miami, FL
• Providers in Miami, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2015; 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.