Angelical Medical Center Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

HCC5959 Issued in FL

Legal business name

ANGELICAL MEDICAL CENTER INC

Practice address

380 E 9TH St
Hialeah, FL 33010-4260

Phone

(305) 805-6975

Fax

(305) 805-6977

NPI assigned

Nov 7, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Efren Puentes

Title

President

Phone

(305) 805-6975

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1194393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194393600000",
    "number": "1487834487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 E 9TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330104260",
            "telephone_number": "305-805-6975",
            "fax_number": "305-805-6977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 E 9TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330104260",
            "telephone_number": "305-805-6975",
            "fax_number": "305-805-6977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELICAL MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-07",
        "last_updated": "2007-11-07",
        "status": "A",
        "authorized_official_last_name": "PUENTES",
        "authorized_official_first_name": "EFREN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-805-6975",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "HCC5959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Hialeah, FL
• Providers in Hialeah, 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 Nov 7, 2007; 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.