Med-Clinic Inc.

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

License

8690 Issued in FL

Legal business name

MED-CLINIC INC.

Practice address

10800 NW 58 St
Doral, FL 33178

Phone

(305) 477-4475

Fax

(305) 477-4487

NPI assigned

May 16, 2013

Organization subpart

Yes

Parent organization

MED-CLINIC INCAs reported in NPPES

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

Authorized official

Name

Dr. Manuel Lopez Diaz, MD

Title

President

Phone

(305) 477-4475

Specialties & licenses 1

Addresses

Other names 1

• Manuel Lopez Diaz MD Former legal business name

Part of

Med-Clinic Inc

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Medical Clinic PA

  • Primary Care Clinic/Center
  • Lantana, FL
  • NPI 1871936815
  NPPES parent name

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

{
    "created_epoch": "1368662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368662400000",
    "number": "1497191563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10800 NW 58TH ST",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331782854",
            "telephone_number": "305-477-4475",
            "fax_number": "305-477-4487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10800 NW 58 ST",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "33178",
            "telephone_number": "305-477-4475",
            "fax_number": "305-477-4487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED-CLINIC INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MED-CLINIC INC",
        "enumeration_date": "2013-05-16",
        "last_updated": "2013-05-16",
        "status": "A",
        "authorized_official_last_name": "LOPEZ DIAZ",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-477-4475",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "FL",
            "license": "8690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Manuel Lopez Diaz MD",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Urgent Care Clinic/Center in Doral, FL
• Providers in Doral, FL by specialty
• Urgent Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2013; 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.