Mediclear Medical & Research Center, Inc

Primary specialty

Research Clinic/CenterTaxonomy code 261QR1100X

Legal business name

MEDICLEAR MEDICAL & RESEARCH CENTER, INC

Practice address

2500 SW 107TH Ave Ste 46-47
Miami, FL 33165-2470

Phone

(305) 316-5902

NPI assigned

Feb 22, 2018

Last updated

Feb 22, 2018By 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

Yudit Cabanes

Title

Owner

Phone

(305) 316-5902

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1519257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519257600000",
    "number": "1649771866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 SW 107TH AVE STE 46-47",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331652470",
            "telephone_number": "305-316-5902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 SW 107TH AVE STE 46-47",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331652470",
            "telephone_number": "305-316-5902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICLEAR MEDICAL & RESEARCH CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-22",
        "last_updated": "2018-02-22",
        "status": "A",
        "authorized_official_last_name": "CABANES",
        "authorized_official_first_name": "YUDIT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-316-5902"
    },
    "taxonomies": [
        {
            "code": "261QR1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Research",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Research Clinic/Center in Miami, FL
• Providers in Miami, FL by specialty
• Research Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2018; 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.