Organization Active NPI

Desire Health Medical Center

  • Medical Physician Assistant
  • Miami, FL
National Provider Identifier
1619340510
Registry record updated Nov 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA9107157 Issued in FL
Legal business name
DESIRE HEALTH MEDICAL CENTER
Practice address
648 NW 183Rd Street
Miami, FL 33169
Phone
(305) 780-1899
NPI assigned
Nov 2, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2015

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

Authorized official

Name
Mrs. Claudenie Mondesir, PA
Title
Physician Assistant
Phone
(954) 560-7124

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363AM0700X PA9107157 FL Primary

Addresses

Primary practice location

648 NW 183Rd Street
Miami, FL 33169

Mailing address

648 NW 183Rd Street
Miami, FL 33169
Phone (305) 780-1899

National Provider Directory

National Provider Directory

Locations

648 NW 183Rd St
Miami, FL 33169
Phone (305) 780-1899

NPI Registry JSON

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

{
    "created_epoch": "1446422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446422400000",
    "number": "1619340510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "648 NW 183RD STREET",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33169",
            "telephone_number": "305-780-1899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "648 NW 183RD STREET",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33169",
            "telephone_number": "305-780-1899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESIRE HEALTH MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-02",
        "last_updated": "2015-11-02",
        "status": "A",
        "authorized_official_last_name": "MONDESIR",
        "authorized_official_first_name": "CLAUDENIE",
        "authorized_official_title_or_position": "PHYSICIAN ASSISTANT",
        "authorized_official_telephone_number": "954-560-7124",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9107157",
            "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 Nov 2, 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.