Active NPI
Centro Medico Latino Americano de West Palm Beach Corp
- Health Service Clinic/Center
- West Palm Beach, FL
National Provider Identifier
1427286772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- Legal business name
- CENTRO MEDICO LATINO AMERICANO DE WEST PALM BEACH CORP
- Practice address
- 1217 S Military TRL
Suite C
West Palm Beach, FL 33415-4600 - Phone
- (561) 642-6309
- Fax
- (561) 642-6586
- NPI assigned
- Jun 25, 2009
- Last updated
- Feb 21, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Ricardo Martinez
- Title
- President
- Phone
- (786) 395-6708
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | NU | Primary |
Addresses
Primary practice location
1217 S Military TRL
Suite C
West Palm Beach, FL 33415-4600
Mailing address
1217 South Military Trial
Suite C
West Palm Beach, FL 33415
Phone (561) 642-6309
Other practice location 1
944 S Military Trl
West Palm Beach, FL 33415-3910
Phone (561) 425-8000
National Provider Directory
National Provider DirectoryLocations
944 S Military Trl
West Palm Beach, FL 33415
Phone (561) 223-4081
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245888000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1645401600000",
"number": "1427286772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1217 SOUTH MILITARY TRIAL",
"address_2": "SUITE C",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "33415",
"telephone_number": "561-642-6309",
"fax_number": "561-642-6586"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1217 S MILITARY TRL",
"address_2": "SUITE C",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334154600",
"telephone_number": "561-642-6309",
"fax_number": "561-642-6586"
}
],
"practiceLocations": [
{
"address_1": "944 S Military Trl",
"address_purpose": "LOCATION",
"city": "West Palm Beach",
"state": "FL",
"postal_code": "334153910",
"country_code": "US",
"telephone_number": "561-425-8000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "CENTRO MEDICO LATINO AMERICANO DE WEST PALM BEACH CORP",
"organizational_subpart": "NO",
"enumeration_date": "2009-06-25",
"last_updated": "2022-02-21",
"certification_date": "2022-02-21",
"status": "A",
"authorized_official_last_name": "MARTINEZ",
"authorized_official_first_name": "RICARDO",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "786-395-6708",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Palm Beach, FL
- Central Palm Beach Physicians & Urgent Care Inc (MCPB Orthopedics & Neurosurgery)
- Central Palm Beach Physicians & Urgent Care Inc (Medical Center of the Palm Beaches)
- Central Palm Beach Physicians & Urgent Care, Inc. (Medical Center Imaging)
- Central Palm Beach Physicians & Urgent Care, Inc. (Medical Center of the Palm Beaches)
- Central Palm Beach Surgery Center, L.T.D.
- Centrum Medical Holdings of West Palm Beach
- Centrum Medical Holdings of West Palm Beach
- Century Physical Therapy, LLC
- Jeffany Cepeda, COTA
- Odalys Yanet Cepero Quintana, RBT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.