Four Forty West Medical & Surgical Center Corp

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

HCC4055 AHCA LIC Issued in FL

Legal business name

FOUR FORTY WEST MEDICAL & SURGICAL CENTER CORP

Practice address

440 W 65TH St
Hialeah, FL 33012-6640

Phone

(305) 556-7706

Fax

(305) 557-7296

NPI assigned

Sep 26, 2006

Organization subpart

No

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

Authorized official

Name

Carlos Roig, PANPI 1518995398

Title

President

Phone

(305) 556-7706

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Carlos Roig, M.D.

  • General Practice Physician
  • Miami, FL
  • NPI 1518995398
  NPD (past) Authorized official
• Jose L Ruiz, M.D.

  • General Practice Physician
  • Cutler Bay, FL
  • NPI 1285631408
  NPD (past)

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427159193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 W 65TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330126640",
            "telephone_number": "305-556-7706",
            "fax_number": "305-557-7296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 W 65TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330126640",
            "telephone_number": "305-556-7706",
            "fax_number": "305-557-7296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUR FORTY WEST MEDICAL & SURGICAL CENTER CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROIG",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-556-7706",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "HCC4055 AHCA LIC",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Idalmis Fortunato- Almaguer
• Irene Fortunato
• Pedro Barbaro Foster Toledo, MEDICAL DOCTOR
• Marta Martin Foster, MD
• Jerome Timothy Fountain III
• Dayanis Fourcoy Monterrey
• Thalia Fraga Fitte
• Fraga Pediatrics & Associates, P.a.
• Cristian Stephan Franceschi Torres, CRNA
• Gretel Franch

• Family Medicine Physician in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Family Medicine Physician 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.