Organization Active NPI

Genesis Physicians Management Corp

  • General Practice Physician
  • Hialeah, FL
National Provider Identifier
1508204041
Registry record updated Jun 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME90910 Issued in FL
Legal business name
GENESIS PHYSICIANS MANAGEMENT CORP
Practice address
755 E 8TH Ave
Hialeah, FL 33010-4613
Phone
(305) 884-3334
Fax
(305) 885-3334
NPI assigned
Jun 6, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2013

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

Authorized official

Name
Dr. Eduardo J Garrido, D.C.
Title
President
Phone
(305) 884-3334

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X CH7995 FL
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X ME90910 FL Primary

Addresses

Primary practice location

755 E 8TH Ave
Hialeah, FL 33010-4613

Mailing address

755 E 8TH Ave
Hialeah, FL 33010-4613
Phone (305) 884-3334

Other names 1

  • Genesis Medical Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1370476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370476800000",
    "number": "1508204041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 E 8TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330104613",
            "telephone_number": "305-884-3334",
            "fax_number": "305-885-3334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 E 8TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330104613",
            "telephone_number": "305-884-3334",
            "fax_number": "305-885-3334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS PHYSICIANS MANAGEMENT CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-06",
        "last_updated": "2013-06-06",
        "status": "A",
        "authorized_official_last_name": "GARRIDO",
        "authorized_official_first_name": "EDUARDO",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-884-3334",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH7995",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME90910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Genesis Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 6, 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.