NPIMap

Organization Active NPI

Juventus Medical Center, Inc

  • Clinic/Center
  • Hialeah, FL
National Provider Identifier
1487958351
Registry record updated Jan 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
JUVENTUS MEDICAL CENTER, INC
Practice address
1165 W 49TH St
Ste 208
Hialeah, FL 33012-3374
Phone
(305) 512-5480
NPI assigned
Jan 6, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2011

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

Authorized official

Name
Ivan Garcia
Title
President
Phone
(305) 512-5480

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1165 W 49TH St
Ste 208
Hialeah, FL 33012-3374

Mailing address

1165 W 49TH St
Ste 208
Hialeah, FL 33012-3374
Phone (305) 512-5480

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1294272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294272000000",
    "number": "1487958351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1165 W 49TH ST",
            "address_2": "STE 208",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123374",
            "telephone_number": "305-512-5480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1165 W 49TH ST",
            "address_2": "STE 208",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123374",
            "telephone_number": "305-512-5480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUVENTUS MEDICAL CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-06",
        "last_updated": "2011-01-06",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "IVAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-512-5480"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2011; 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.