Extra Medical Center Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

EXTRA MEDICAL CENTER INC

Practice address

825 SW 87TH Ave Ste D
Miami, FL 33174-3253

Phone

(786) 202-1997

NPI assigned

Jan 18, 2021

Organization subpart

No

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

Authorized official

Name

Yania Pedre

Title

President

Phone

(786) 202-1997

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1610928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610928000000",
    "number": "1609466234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 SW 87TH AVE STE D",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331743253",
            "telephone_number": "786-202-1997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 SW 87TH AVE STE D",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331743253",
            "telephone_number": "786-202-1997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXTRA MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-18",
        "last_updated": "2021-01-18",
        "certification_date": "2021-01-18",
        "status": "A",
        "authorized_official_last_name": "PEDRE",
        "authorized_official_first_name": "YANIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-202-1997"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Miami, FL
• Providers in Miami, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2021; 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.