Organization Active NPI

Centro Medico Latino Americano de West Palm Beach Corp

  • Health Service Clinic/Center
  • West Palm Beach, FL
National Provider Identifier
1427286772
Registry record updated Feb 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
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, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2022

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)CodeLicenseStatePrimary
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 Directory

Locations

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

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.

Verify at the official NPI Registry.