Organization Active NPI

Pal Medical Center

  • Health Service Clinic/Center
  • Miami, FL
National Provider Identifier
1629414503
Registry record updated May 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
HCC9054 Issued in FL
Legal business name
PAL MEDICAL CENTER
Practice address
6907 NW 77TH Ave
Miami, FL 33166
Phone
(305) 884-1919
Fax
(305) 884-1969
NPI assigned
May 17, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2013

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

Authorized official

Name
Pablo Sicilia
Title
President
Phone
(305) 884-1919

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X HCC9054 FL Primary

Addresses

Primary practice location

6907 NW 77TH Ave
Miami, FL 33166

Mailing address

6907 NW 77TH Ave
Miami, FL 33166
Phone (305) 884-1919

National Provider Directory

National Provider Directory

Locations

6907 NW 77th Ave
Miami, FL 33166
Phone (305) 884-1919

NPI Registry JSON

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

{
    "created_epoch": "1368748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368748800000",
    "number": "1629414503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6907 NW 77TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33166",
            "telephone_number": "305-884-1919",
            "fax_number": "305-884-1969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6907 NW 77TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33166",
            "telephone_number": "305-884-1919",
            "fax_number": "305-884-1969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAL MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-17",
        "last_updated": "2013-05-17",
        "status": "A",
        "authorized_official_last_name": "SICILIA",
        "authorized_official_first_name": "PABLO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-884-1919"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "FL",
            "license": "HCC9054",
            "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 May 17, 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.