Ideal Medical Center of Hialeah, Inc

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

HCC6717 Issued in FL

Legal business name

IDEAL MEDICAL CENTER OF HIALEAH, INC

Practice address

3805 W 20 Ave Suite 105
Hialeah, FL 33012

Phone

(305) 557-2277

NPI assigned

Oct 11, 2006

Organization subpart

No

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

Authorized official

Name

Octavio Alexis Bravo

Title

Coo

Phone

(305) 557-2277

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1548359532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11782 SW 92 TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33186",
            "telephone_number": "305-271-7464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3805 W 20 AVE SUITE 105",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "33012",
            "telephone_number": "305-557-2277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDEAL MEDICAL CENTER OF HIALEAH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRAVO",
        "authorized_official_first_name": "OCTAVIO",
        "authorized_official_middle_name": "ALEXIS",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "305-557-2277"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "FL",
            "license": "HCC6717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Idaca LLC
• Idalmes Perez D.D.S P.a
• Idalmis Alvarez Gomez NP LLC
• Ideal Adult Daycare Center, Inc
• Ideal Farmacy Inc
• Ideal Rehabilitation Insttute
• Claudia Iglesia Diaz
• Yosmari Iglesias Diaz, RBT
• Melany Iglesias Garcia
• Mabel Iglesias Heria

• Health Service Clinic/Center in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Health Service 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.