Organization Active NPI

Healthy Group Medical Center

  • Health Service Clinic/Center
  • Miami, FL
National Provider Identifier
1619155223
Registry record updated Feb 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
643000-3 Issued in FL
Legal business name
HEALTHY GROUP MEDICAL CENTER
Practice address
11880 SW 40 Street
207
Miami, FL 33175
Phone
(305) 554-4955
Fax
(305) 554-4801
NPI assigned
Feb 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2008

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

Authorized official

Name
Fernando Cruz
Title
President
Phone
(305) 554-4955

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 643000-3 FL Primary

Addresses

Primary practice location

11880 SW 40 Street
207
Miami, FL 33175

Mailing address

PO Box 652826
Miami, FL 33265-2826
Phone (305) 554-4955

National Provider Directory

National Provider Directory

Locations

11880 SW 40th St
Ste 207
Miami, FL 33175
Phone (305) 554-4955

NPI Registry JSON

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

{
    "created_epoch": "1202256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202256000000",
    "number": "1619155223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 652826",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "332652826",
            "telephone_number": "305-554-4955",
            "fax_number": "305-554-4801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11880 SW 40 STREET",
            "address_2": "207",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33175",
            "telephone_number": "305-554-4955",
            "fax_number": "305-554-4801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY GROUP MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-06",
        "last_updated": "2008-02-06",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "FERNANDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-554-4955"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "FL",
            "license": "643000-3",
            "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 Feb 6, 2008; 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.