Latino Medical Center III, Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

LATINO MEDICAL CENTER III, INC

Practice address

3670 W Oakland Blvd
Lauderdale Lakes, FL 33311

Phone

(954) 716-6101

Fax

(954) 533-4634

NPI assigned

Jun 18, 2018

Organization subpart

No

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

Authorized official

Name

Rodney Joseph

Title

President

Phone

(305) 947-4499

Specialties & licenses 1

Addresses

Other names 1

• LATINO MEDICAL CENTER III, INC Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1529280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678060800000",
    "number": "1477047058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3670 W OAKLAND BLVD",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "33311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3670 W OAKLAND BLVD",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "33311",
            "telephone_number": "954-716-6101",
            "fax_number": "954-533-4634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LATINO MEDICAL CENTER III, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-18",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A",
        "authorized_official_last_name": "JOSEPH",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-947-4499"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LATINO MEDICAL CENTER III, INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Physician in Lauderdale Lakes, FL
• Providers in Lauderdale Lakes, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.