Organization Active NPI

Galloway Medical Group Corp

  • Clinic/Center
  • Miami, FL
National Provider Identifier
1467522516
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
HCC7329 Issued in FL
Legal business name
GALLOWAY MEDICAL GROUP CORP
Practice address
913 SW 87TH Ave
Miami, FL 33174-3206
Phone
(305) 263-2772
Fax
(305) 263-2773
NPI assigned
Nov 8, 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
Mr. Rodolfo Elio Vilarino
Title
President
Phone
(305) 263-2772

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X HCC7329 FL Primary

Addresses

Primary practice location

913 SW 87TH Ave
Miami, FL 33174-3206

Mailing address

913 SW 87TH Ave
Miami, FL 33174-3206
Phone (305) 263-2772

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467522516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "913 SW 87TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331743206",
            "telephone_number": "305-263-2772",
            "fax_number": "305-263-2773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 SW 87TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331743206",
            "telephone_number": "305-263-2772",
            "fax_number": "305-263-2773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALLOWAY MEDICAL GROUP CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VILARINO",
        "authorized_official_first_name": "RODOLFO",
        "authorized_official_middle_name": "ELIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-263-2772",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "HCC7329",
            "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.