Century Medical Center of South Dade ,L.L.C

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CENTURY MEDICAL CENTER OF SOUTH DADE ,L.L.C

Practice address

1645 SW 107TH Ave
Miami, FL 33165-7344

Phone

(954) 331-4966

Fax

(954) 212-8486

NPI assigned

Sep 18, 2020

Organization subpart

No

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

Authorized official

Name

Caridad Mireya Gallardo Pimentel, APRN

Title

President

Phone

(954) 331-4966

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1600387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659916800000",
    "number": "1598371247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1645 SW 107TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331657344",
            "telephone_number": "954-331-4966",
            "fax_number": "954-212-8486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1645 SW 107TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331657344",
            "telephone_number": "954-331-4966",
            "fax_number": "954-212-8486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTURY MEDICAL CENTER OF SOUTH DADE ,L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-18",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A",
        "authorized_official_last_name": "GALLARDO PIMENTEL",
        "authorized_official_first_name": "CARIDAD",
        "authorized_official_middle_name": "MIREYA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-331-4966",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Century Dental Group LLC
• Century Health Inc
• Century Home Alf, Inc
• Century Life Inc
• Century Medical Center of South Dade ,L.L.C
• Century Medical Center of South Dade LLC
• Century Medical Centers LLC
• Century Medical Group PA
• Century Pain Solution Inc
• Century Research & Aesthetics, LLC

• Family Medicine Physician in Miami, FL
• Providers in Miami, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2022; 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.