Organization Active NPI

Medical Clinic Services Corp

  • General Practice Physician
  • Miami, FL
National Provider Identifier
1467834028
Registry record updated Jun 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
MEDICAL CLINIC SERVICES CORP
Practice address
2955 SW 8TH St Ste 203
Miami, FL 33135-2864
Phone
(786) 275-4888
Fax
(786) 275-4847
NPI assigned
Jun 19, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2015

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

Authorized official

Name
Humberto Hernandez
Title
President
Phone
(786) 275-4888

Specialties & licenses 1

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

Addresses

Primary practice location

2955 SW 8TH St Ste 203
Miami, FL 33135-2864

Mailing address

2955 SW 8TH St Ste 203
Miami, FL 33135-2864
Phone (786) 275-4888

National Provider Directory

National Provider Directory

Locations

2955 SW 8th St
Ste 203
Miami, FL 33135
Phone (305) 587-2408

NPI Registry JSON

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

{
    "created_epoch": "1434672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434672000000",
    "number": "1467834028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2955 SW 8TH ST STE 203",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331352864",
            "telephone_number": "786-275-4888",
            "fax_number": "786-275-4847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2955 SW 8TH ST STE 203",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331352864",
            "telephone_number": "786-275-4888",
            "fax_number": "786-275-4847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL CLINIC SERVICES CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-19",
        "last_updated": "2015-06-19",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "HUMBERTO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-275-4888"
    },
    "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 Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2015; 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.