Organization Active NPI

Prada Medical Services Corp.

  • Health Service Clinic/Center
  • Hialeah, FL
National Provider Identifier
1629400684
Registry record updated Aug 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
MA 64909 Issued in FL
Legal business name
PRADA MEDICAL SERVICES CORP.
Practice address
3750 W 16TH Ave Ste 238U
Hialeah, FL 33012-4665
Phone
(786) 567-2786
NPI assigned
Aug 1, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2013

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

Authorized official

Name
Maite Garcia
Title
President
Phone
(786) 567-2786

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X MA 64909 FL Primary

Addresses

Primary practice location

3750 W 16TH Ave Ste 238U
Hialeah, FL 33012-4665

Mailing address

3750 W 16TH Ave Ste 238U
Hialeah, FL 33012-4665
Phone (786) 567-2786

National Provider Directory

National Provider Directory

Locations

3750 W 16th Ave
Ste 238U
Hialeah, FL 33012
Phone (305) 821-7121

NPI Registry JSON

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

{
    "created_epoch": "1375315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375315200000",
    "number": "1629400684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3750 W 16TH AVE STE 238U",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330124665",
            "telephone_number": "786-567-2786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3750 W 16TH AVE STE 238U",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330124665",
            "telephone_number": "786-567-2786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRADA MEDICAL SERVICES CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-01",
        "last_updated": "2013-08-01",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "MAITE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-567-2786"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "FL",
            "license": "MA 64909",
            "primary": true
        }
    ],
    "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 Aug 1, 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.