NPIMap

Organization Active NPI

Cma Meds

  • Internal Medicine Physician
  • Hialeah, FL
National Provider Identifier
1497056667
Registry record updated Jul 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
CMA MEDS
Practice address
5801 Miami Lakes Dr E
Hialeah, FL 33014-2401
Phone
(305) 821-9115
Fax
(305) 821-9150
NPI assigned
Nov 4, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2012

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

Authorized official

Name
Mary Chen
Title
President
Phone
(305) 621-0023

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

5801 Miami Lakes Dr E
Hialeah, FL 33014-2401

Mailing address

1000 Park Centre Blvd
Suite 100
Miami, FL 33169-5373
Phone (305) 621-0023

Other identifiers 1

IdentifierTypeStateIssuer
255564600MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
154TH Street Medical Plaza10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1288828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342569600000",
    "number": "1497056667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 PARK CENTRE BLVD",
            "address_2": "SUITE 100",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331695373",
            "telephone_number": "305-621-0023",
            "fax_number": "305-628-6121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5801 MIAMI LAKES DR E",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330142401",
            "telephone_number": "305-821-9115",
            "fax_number": "305-821-9150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CMA MEDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-04",
        "last_updated": "2012-07-18",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-621-0023"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "255564600",
            "state": "FL"
        }
    ],
    "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 Jul 18, 2012; 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.