Organization Active NPI

Doc's Medical Clinic Inc

  • General Practice Physician
  • Miami, FL
National Provider Identifier
1619904323
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
CH8828 Issued in FL
Legal business name
DOC'S MEDICAL CLINIC INC
Practice address
515 SW 17TH Ave
Miami, FL 33135-3878
Phone
(305) 643-3847
NPI assigned
Jun 27, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Roberto Tapanes
Title
Pres
Phone
(305) 643-3847

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X CH8828 FL Primary

Addresses

Primary practice location

515 SW 17TH Ave
Miami, FL 33135-3878

Mailing address

515 SW 17TH Ave
Miami, FL 33135-3878
Phone (305) 643-3847

National Provider Directory

National Provider Directory

Locations

515 SW 17th Ave
Miami, FL 33135
Phone (305) 643-3847

515 SW 17th Ave
Ste 2
Miami, FL 33135
Phone (305) 643-3847

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619904323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 SW 17TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331353878",
            "telephone_number": "305-643-3847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 SW 17TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331353878",
            "telephone_number": "305-643-3847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOC'S MEDICAL CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TAPANES",
        "authorized_official_first_name": "ROBERTO",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "305-643-3847"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "CH8828",
            "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 Aug 22, 2020; 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.