Organization Active NPI

Medplus Diagnostic Center Inc

  • Clinic/Center
  • Miami, FL
National Provider Identifier
1447345384
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
MEDPLUS DIAGNOSTIC CENTER INC
Practice address
1710 SW 57 Avenue
Miami, FL 33155-2137
Phone
(305) 262-4834
NPI assigned
Oct 4, 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
Charles Obregon
Title
President
Phone
(305) 262-4834

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1710 SW 57 Avenue
Miami, FL 33155-2137

Mailing address

1710 SW 57 Avenue
Miami, FL 33155-2137
Phone (305) 262-4834

National Provider Directory

National Provider Directory

Locations

27867 S Dixie Hwy
Homestead, FL 33032
Phone (305) 242-9920

1710 SW 57th Ave
Miami, FL 33155
Phone (305) 262-4834

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447345384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 SW 57 AVENUE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331552137",
            "telephone_number": "305-262-4834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 SW 57 AVENUE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331552137",
            "telephone_number": "305-262-4834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDPLUS DIAGNOSTIC CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OBREGON",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-262-4834"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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.