Active NPI
Valencia Medical Center, Inc
- Multi-Specialty Clinic/Center
- Miami, FL
National Provider Identifier
1649598418
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- License
- ME98844
- Legal business name
- VALENCIA MEDICAL CENTER, INC
- Practice address
- 9804 SW 40TH St
Miami, FL 33165-3912 - Phone
- (305) 222-9154
- Fax
- (305) 222-9155
- NPI assigned
- May 4, 2010
- Last updated
- Nov 4, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Judith Valencia
- Title
- President
- Phone
- (305) 222-9154
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | ME98844 | FL | Primary |
Addresses
Primary practice location
9804 SW 40TH St
Miami, FL 33165-3912
Mailing address
9804 SW 40TH St
Miami, FL 33165-3912
Phone (305) 222-9154
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 115804400 | Medicaid | FL | |
| PQ912 | Other | FL | MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
17366 S Dixie Hwy
Palmetto Bay, FL 33157
Phone (305) 222-9154
Practitioners & affiliated clinicians
Practitioners 5
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.
-
- General Practice Physician
- Miami, FL
- NPI 1649478389
-
- Family Nurse Practitioner
- Miami, FL
- NPI 1912573858
-
- Psychiatric/Mental Health Nurse Practitioner
- Doral, FL
- NPI 1124452339
-
- Family Nurse Practitioner
- Aventura, FL
- NPI 1952993826
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272931200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1667520000000",
"number": "1649598418",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9804 SW 40TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331653912",
"telephone_number": "305-222-9154",
"fax_number": "305-222-9155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9804 SW 40TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331653912",
"telephone_number": "305-222-9154",
"fax_number": "305-222-9155"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VALENCIA MEDICAL CENTER, INC",
"organizational_subpart": "NO",
"enumeration_date": "2010-05-04",
"last_updated": "2022-11-04",
"certification_date": "2022-11-04",
"status": "A",
"authorized_official_last_name": "VALENCIA",
"authorized_official_first_name": "JUDITH",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "305-222-9154",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": "FL",
"license": "ME98844",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "115804400",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "PQ912",
"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 Nov 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.