Organization Active NPI

G & O Medical Services Corp

  • Multi-Specialty Clinic/Center
  • Miami, FL
National Provider Identifier
1437100641
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
License
HCC6683 Issued in FL
Legal business name
G & O MEDICAL SERVICES CORP
Practice address
10766 SW 24TH St
Miami, FL 33165-2493
Phone
(305) 487-6006
Fax
(305) 487-6210
NPI assigned
May 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Gicle Gonzalez
Title
President
Phone
(305) 487-6006

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X HCC6683 FL Primary

Addresses

Primary practice location

10766 SW 24TH St
Miami, FL 33165-2493

Mailing address

10766 SW 24TH St
Miami, FL 33165-2493
Phone (305) 487-6006

Other identifiers 1

IdentifierTypeStateIssuer
HCC6683OtherFLHEALTH CARE CLINIC LICENS

National Provider Directory

National Provider Directory
Tax ID family
G O Medical Service Corp2 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.

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437100641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10766 SW 24TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331652493",
            "telephone_number": "305-487-6006",
            "fax_number": "305-487-6210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10766 SW 24TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331652493",
            "telephone_number": "305-487-6006",
            "fax_number": "305-487-6210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G & O MEDICAL SERVICES CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "GICLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-487-6006"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "FL",
            "license": "HCC6683",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH CARE CLINIC LICENS",
            "identifier": "HCC6683",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • 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.