Organization Active NPI

Villa Clara Medical Center

  • Clinic/Center
  • Miami, FL
National Provider Identifier
1598099129
Registry record updated Sep 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
VILLA CLARA MEDICAL CENTER
Practice address
17317 SW 142ND CT
Miami, FL 33177-2785
Phone
(305) 910-4270
NPI assigned
Sep 29, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2009

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

Authorized official

Name
Dr. Jose Javier Gonzalez
Title
Owner
Phone
(305) 910-4270

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

17317 SW 142ND CT
Miami, FL 33177-2785

Mailing address

17317 SW 142ND CT
Miami, FL 33177-2785
Phone (305) 910-4270

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1254182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254182400000",
    "number": "1598099129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17317 SW 142ND CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331772785",
            "telephone_number": "305-910-4270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17317 SW 142ND CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331772785",
            "telephone_number": "305-910-4270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLA CLARA MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-29",
        "last_updated": "2009-09-29",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "JAVIER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-910-4270",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "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 Sep 29, 2009; 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.