Organization Active NPI

University Dr Medical Office

  • General Practice Physician
  • Hollywood, FL
National Provider Identifier
1669576112
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
HCC6896 Issued in FL
Legal business name
UNIVERSITY DR MEDICAL OFFICE
Practice address
7131 Taft St
Hollywood, FL 33024-3805
Phone
(954) 322-9113
NPI assigned
Sep 12, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Maribel Rodriguez
Title
President
Phone
(954) 322-9113

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X HCC6896 FL Primary

Addresses

Primary practice location

7131 Taft St
Hollywood, FL 33024-3805

Mailing address

7131 Taft St
Hollywood, FL 33024-3805
Phone (954) 322-9113

Other identifiers 1

IdentifierTypeStateIssuer
F80687OtherFLOCCUPATIONAL LIC

National Provider Directory

National Provider Directory
Tax ID family
University Dr Medical Office2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669576112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7131 TAFT ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330243805",
            "telephone_number": "954-322-9113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7131 TAFT ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330243805",
            "telephone_number": "954-322-9113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY DR MEDICAL OFFICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "MARIBEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-322-9113"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "HCC6896",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OCCUPATIONAL LIC",
            "identifier": "F80687",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.