Organization Active NPI

Atena Medical Center Inc

  • General Practice Physician
  • Coral Gables, FL
National Provider Identifier
1447367362
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
ATENA MEDICAL CENTER INC
Practice address
3990 W Flagler St Ste 305
Coral Gables, FL 33134-1644
Phone
(305) 446-8305
Fax
(305) 446-8307
NPI assigned
Aug 24, 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
Ricardo Fonseca
Title
President Owner
Phone
(305) 446-8305

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

3990 W Flagler St Ste 305
Coral Gables, FL 33134-1644

Mailing address

3990 W Flagler St Ste 305
Coral Gables, FL 33134-1644
Phone (305) 446-8305

National Provider Directory

National Provider Directory
Tax ID family
Atena Medical Center2 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.

Locations

3990 W Flagler St
Ste 305
Coral Gables, FL 33134
Phone (305) 444-5884

NPI Registry JSON

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447367362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3990 W FLAGLER ST STE 305",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331341644",
            "telephone_number": "305-446-8305",
            "fax_number": "305-446-8307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3990 W FLAGLER ST STE 305",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331341644",
            "telephone_number": "305-446-8305",
            "fax_number": "305-446-8307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATENA MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FONSECA",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "305-446-8305"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, 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.