Organization Active NPI

Blue Life Medical Center LLC

  • General Practice Physician
  • Miramar, FL
National Provider Identifier
1528537693
Registry record updated Jun 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
BLUE LIFE MEDICAL CENTER LLC
Practice address
6272 Miramar Pkwy
Miramar, FL 33023-3942
Phone
(954) 404-8308
Fax
(954) 404-8287
NPI assigned
Nov 19, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2020

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

Authorized official

Name
Felix M Miguez
Title
President
Phone
(954) 404-8308

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

6272 Miramar Pkwy
Miramar, FL 33023-3942

Mailing address

6272 Miramar Pkwy
Miramar, FL 33023-3942
Phone (954) 404-8308

National Provider Directory

National Provider Directory

Locations

6272 Miramar Pkwy
Miramar, FL 33023
Phone (954) 404-8308

NPI Registry JSON

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

{
    "created_epoch": "1542585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592352000000",
    "number": "1528537693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6272 MIRAMAR PKWY",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330233942",
            "telephone_number": "954-404-8308",
            "fax_number": "954-404-8287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6272 MIRAMAR PKWY",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330233942",
            "telephone_number": "954-404-8308",
            "fax_number": "954-404-8287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE LIFE MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-19",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A",
        "authorized_official_last_name": "MIGUEZ",
        "authorized_official_first_name": "FELIX",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-404-8308"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miramar, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.