Organization Active NPI

Venecia Medical Center LLC

  • Psychiatry Physician
  • Hialeah, FL
National Provider Identifier
1619642543
Registry record updated Sep 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
VENECIA MEDICAL CENTER LLC
Practice address
5890 W 20TH Ave
Hialeah, FL 33016-2656
Phone
(239) 202-8998
Fax
(239) 270-5178
NPI assigned
Aug 12, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2022

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

Authorized official

Name
Claudia Del Pino
Title
Manager
Phone
(239) 202-8998

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary
Case Management Agency 251B00000X

Addresses

Primary practice location

5890 W 20TH Ave
Hialeah, FL 33016-2656

Mailing address

5890 W 20TH Ave
Hialeah, FL 33016-2656
Phone (239) 202-8998

National Provider Directory

National Provider Directory
Tax ID family
Venecia Medical Center LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5890 W 20th Ave
Hialeah, FL 33016
Phone (239) 202-8998

12001 SW 128th Ct
Ste 202
Miami, FL 33186
Phone (786) 309-2119

NPI Registry JSON

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

{
    "created_epoch": "1628726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661990400000",
    "number": "1619642543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5890 W 20TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330162656",
            "telephone_number": "239-202-8998",
            "fax_number": "239-270-5178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5890 W 20TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330162656",
            "telephone_number": "239-202-8998",
            "fax_number": "239-270-5178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VENECIA MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-12",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A",
        "authorized_official_last_name": "DEL PINO",
        "authorized_official_first_name": "CLAUDIA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "239-202-8998"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.