Organization Active NPI

Century Medical Group, Corp

  • General Practice Physician
  • Hialeah Gardens, FL
National Provider Identifier
1649676479
Registry record updated Mar 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
BL16276 Issued in FL
Legal business name
CENTURY MEDICAL GROUP, CORP
Practice address
11300 NW 87TH CT
Suite #141
Hialeah Gardens, FL 33018-4586
Phone
(305) 392-0257
Fax
(786) 360-2989
NPI assigned
Nov 5, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2015

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

Authorized official

Name
Ms. Ciria Esther Castro
Title
President
Phone
(305) 733-4301

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208D00000X BL16276 FL Primary

Addresses

Primary practice location

11300 NW 87TH CT
Suite #141
Hialeah Gardens, FL 33018-4586

Mailing address

11300 NW 87TH CT
Suite #141
Hialeah Gardens, FL 33018-4586
Phone (305) 392-0257

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1415145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427328000000",
    "number": "1649676479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11300 NW 87TH CT",
            "address_2": "SUITE #141",
            "city": "HIALEAH GARDENS",
            "state": "FL",
            "postal_code": "330184586",
            "telephone_number": "305-392-0257",
            "fax_number": "786-360-2989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11300 NW 87TH CT",
            "address_2": "SUITE #141",
            "city": "HIALEAH GARDENS",
            "state": "FL",
            "postal_code": "330184586",
            "telephone_number": "305-392-0257",
            "fax_number": "786-360-2989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTURY MEDICAL GROUP, CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-05",
        "last_updated": "2015-03-26",
        "status": "A",
        "authorized_official_last_name": "CASTRO",
        "authorized_official_first_name": "CIRIA",
        "authorized_official_middle_name": "ESTHER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-733-4301",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "BL16276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2015; 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.