Haddad Medical Center

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

ME88937 Issued in FL

Legal business name

HADDAD MEDICAL CENTER

Practice address

10300 SW 72ND St Ste 357
Miami, FL 33173-3020

Phone

(786) 439-4661

NPI assigned

Jan 18, 2013

Last updated

Jan 18, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Juan M Haddad Perez, M.D.

Title

Owner

Phone

(786) 439-4661

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1358467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358467200000",
    "number": "1467790873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10300 SW 72ND ST STE 357",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10300 SW 72ND ST STE 357",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733020",
            "telephone_number": "786-439-4661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HADDAD MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-18",
        "last_updated": "2013-01-18",
        "status": "A",
        "authorized_official_last_name": "HADDAD PEREZ",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-439-4661",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "FL",
            "license": "ME88937",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF HEALTH",
            "identifier": "ME88937",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hacienda Care VI LP (West Gables Health Care Center)
• Stephanie Hacker, RD
• Cassandra Marie Hackworth, RN
• Kriselle Hadad
• Raquel Hadad, DDS
• Elie R Haddad, M.D.
• Elyane Nicole Haddad, M.D.
• Juan Haddad, M.D.
• Osama KH.M Haddad, M.D
• Lauren Sivan Hadef, PA

• Point of Service in Miami, FL
• Providers in Miami, FL by specialty
• Point of Service in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2013; 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.