Organization Active NPI

Guadalupana CG Inc.

  • Clinic/Center
  • Miami, FL
National Provider Identifier
1629385596
Registry record updated Jun 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
HCC8938 Issued in FL
Legal business name
GUADALUPANA CG INC.
Practice address
8890 SW 24TH St
Suite 206
Miami, FL 33165-2060
Phone
(305) 456-1295
Fax
(305) 220-8930
NPI assigned
Sep 13, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2013

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

Authorized official

Name
Carlos Nunez
Title
Owner
Phone
(305) 456-1295

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X HCC8938 FL Primary

Addresses

Primary practice location

8890 SW 24TH St
Suite 206
Miami, FL 33165-2060

Mailing address

8890 SW 24TH St
Suite 206
Miami, FL 33165-2060
Phone (305) 456-1295

Other identifiers 1

IdentifierTypeStateIssuer
1629385596OtherFLCLINIC CENTER-HEALTH CENTER

National Provider Directory

National Provider Directory

Locations

7191 SW 8th St
Miami, FL 33144
Phone (305) 261-8124

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1284336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372377600000",
    "number": "1629385596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8890 SW 24TH ST",
            "address_2": "SUITE 206",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331652060",
            "telephone_number": "305-456-1295",
            "fax_number": "305-220-8930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8890 SW 24TH ST",
            "address_2": "SUITE 206",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331652060",
            "telephone_number": "305-456-1295",
            "fax_number": "305-220-8930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUADALUPANA CG INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-13",
        "last_updated": "2013-06-28",
        "status": "A",
        "authorized_official_last_name": "NUNEZ",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-456-1295"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "HCC8938",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLINIC CENTER-HEALTH CENTER",
            "identifier": "1629385596",
            "state": "FL"
        }
    ],
    "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 Jun 28, 2013; 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.