Starlite Medical Center, Inc

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

License

HCC9705 Issued in FL

Legal business name

STARLITE MEDICAL CENTER, INC

Practice address

3785 NW 82ND Ave
Suite 109
Doral, FL 33166-6655

Phone

(305) 468-9373

Fax

(305) 468-9374

NPI assigned

Aug 31, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Raul HernandezNPI 1467720946

Title

President Administrator

Phone

(305) 468-9373

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Raul Hernandez I

  • Massage Therapist
  • Doral, FL
  • NPI 1467720946
  NPD (past) Authorized official

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

{
    "created_epoch": "1346371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346371200000",
    "number": "1457600835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3785 NW 82ND AVE",
            "address_2": "SUITE 109",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666655",
            "telephone_number": "305-468-9373",
            "fax_number": "305-468-9374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3785 NW 82ND AVE",
            "address_2": "SUITE 109",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666655",
            "telephone_number": "305-468-9373",
            "fax_number": "305-468-9374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STARLITE MEDICAL CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-31",
        "last_updated": "2012-08-31",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "RAUL",
        "authorized_official_title_or_position": "PRESIDENT ADMINISTRATOR",
        "authorized_official_telephone_number": "305-468-9373",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "FL",
            "license": "HCC9705",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AGENCY FOR HEALTH CARE ADMINISTRATION EXEMPTION",
            "identifier": "HCC9705",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stadia Labs Inc
• Angelina Stafford
• Stallion Optical, LLC (Jade Optical)
• Maria Guadalupe Stanbury, M.D
• Starlight Behavior Services LLC
• Starshine Medical Center Corp
• Stat Diagnostic Imaging Inc (Doral Medical Imaging)
• Stateserv Medical of Florida
• Stephany Stathopoulou, B.S.
• Staywell Diabetic Supplies

• Rehabilitation Clinic/Center in Doral, FL
• Providers in Doral, FL by specialty
• Rehabilitation Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2012; 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.