Miami Dade Community Medical Group,Corp.

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

MIAMI DADE COMMUNITY MEDICAL GROUP,CORP.

Practice address

1901 SW 1St St
Suite 208
Miami, FL 33135-1601

Phone

(305) 763-2384

Fax

(877) 889-1801

NPI assigned

Jun 9, 2016

Last updated

Jun 9, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Celia Z Padron, M.D

Title

President

Phone

(856) 534-5819

Specialties & licenses 4

Addresses

Locations

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

{
    "created_epoch": "1465430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465430400000",
    "number": "1649629668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 SW 1ST ST",
            "address_2": "SUITE 208",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331351601",
            "telephone_number": "305-763-2384",
            "fax_number": "877-889-1801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 SW 1ST ST",
            "address_2": "SUITE 208",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331351601",
            "telephone_number": "305-763-2384",
            "fax_number": "877-889-1801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIAMI DADE COMMUNITY MEDICAL GROUP,CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-09",
        "last_updated": "2016-06-09",
        "status": "A",
        "authorized_official_last_name": "PADRON",
        "authorized_official_first_name": "CELIA",
        "authorized_official_middle_name": "Z",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-534-5819",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Research",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miami Community Mental Health Center Inc
• Miami Coral Way Rehabilitation
• Miami Counseling & Wellness Corp. (Psych Blossom)
• Miami Counseling Center
• Miami Counseling LLC
• Miami Dade Community Services Inc
• Miami Dade County Community Action and Human Services Department
• Miami Dade County MRI Corp
• Miami Dade Emergency Physicians LLC
• Miami Dade Health and Rehabilitation Services

• Multi-Specialty Clinic/Center in Miami, FL
• Providers in Miami, FL by specialty
• Multi-Specialty Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2016; 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.