NPIMap

Organization Active NPI

Premier Medical and Diagnostic Center Inc.

  • Clinic/Center
  • Miami, FL
National Provider Identifier
1588690176
Registry record updated Aug 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
HCC11419 Issued in FL
Legal business name
PREMIER MEDICAL AND DIAGNOSTIC CENTER INC.
Practice address
14012 SW 8TH St
Miami, FL 33184-3001
Phone
(786) 703-6884
Fax
(786) 703-5591
NPI assigned
Jun 24, 2006
Last updated
Aug 20, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2015

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

Authorized official

Name
Alvaro J Jerez, M.DNPI 1427095959
Title
President
Phone
(786) 703-6884

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X HCC11419 FL Primary

Addresses

Primary practice location

14012 SW 8TH St
Miami, FL 33184-3001

Mailing address

14012 SW 8TH St
Miami, FL 33184-3001
Phone (786) 703-6884

National Provider Directory

National Provider Directory

Locations

14012 SW 8th St
Miami, FL 33184
Phone (786) 703-6884

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440028800000",
    "number": "1588690176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14012 SW 8TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331843001",
            "telephone_number": "786-703-6884",
            "fax_number": "786-703-5591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14012 SW 8TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331843001",
            "telephone_number": "786-703-6884",
            "fax_number": "786-703-5591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER MEDICAL AND DIAGNOSTIC CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-24",
        "last_updated": "2015-08-20",
        "status": "A",
        "authorized_official_last_name": "JEREZ",
        "authorized_official_first_name": "ALVARO",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-703-6884",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "HCC11419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2015; 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.