Southdade Health Services

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

License

OS1516 Issued in FL

Legal business name

SOUTHDADE HEALTH SERVICES

Practice address

9765 SW 184TH St
Miami, FL 33157-6932

Phone

(305) 255-3950

NPI assigned

Mar 5, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jules Gary Minkes, M.D.

Title

Owenr

Phone

(305) 255-3950

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508995747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9765 SW 184TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331576932",
            "telephone_number": "305-255-3950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9765 SW 184TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331576932",
            "telephone_number": "305-255-3950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHDADE HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MINKES",
        "authorized_official_first_name": "JULES",
        "authorized_official_middle_name": "GARY",
        "authorized_official_title_or_position": "OWENR",
        "authorized_official_telephone_number": "305-255-3950",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "FL",
            "license": "OS1516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Sun Medical Center, LLC
• South Team Service, Inc.
• South V Transport
• South-Dade Medical Care Center, Inc.
• Michelle Southby
• Southdade Wellness, Inc
• Southeast Diagnostic Consultants, LLC
• Southeast Medical Lab Inc
• Southeast Medical Supplies Center Inc
• Southeast Physician Associates 1, LLC.

• Radiology Clinic/Center in Miami, FL
• Providers in Miami, FL by specialty
• Radiology Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.