Maydel Medical Center Corp

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

HCC8408 Issued in FL

Legal business name

MAYDEL MEDICAL CENTER CORP

Practice address

1140 W 50TH St
Suite 400B
Hialeah, FL 33012-3440

Phone

(305) 888-2006

Fax

(305) 888-2007

NPI assigned

Aug 22, 2013

Organization subpart

No

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

Authorized official

Name

Reinaldo Diaz

Title

President

Phone

(305) 888-2006

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1377129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377129600000",
    "number": "1629402961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 W 50TH ST",
            "address_2": "SUITE 400B",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123440",
            "telephone_number": "305-888-2006",
            "fax_number": "305-888-2007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 W 50TH ST",
            "address_2": "SUITE 400B",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123440",
            "telephone_number": "305-888-2006",
            "fax_number": "305-888-2007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYDEL MEDICAL CENTER CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-22",
        "last_updated": "2013-08-22",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "REINALDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-888-2006"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "FL",
            "license": "HCC8408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ronni Mayasen Tejeda
• Marlin Mayea Matos
• Allison Nichole Mayer, RDN, LDN
• Gilda Lidia Mayeta, ARNP
• Leyany Mayo Gonzalez
• Sheila Mayo Torres

• Health Service Clinic/Center in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Health Service Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.