Organization Active NPI

Jenny Medical Center Inc

  • Clinic/Center
  • Coral Gables, FL
National Provider Identifier
1679667034
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
HCC7168 Issued in FL
Legal business name
JENNY MEDICAL CENTER INC
Practice address
3990 W Flagler St
Suite 205
Coral Gables, FL 33134-1644
Phone
(305) 476-1650
Fax
(305) 476-1649
NPI assigned
Oct 2, 2006
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
Mr. Raul Rodriguez
Title
President/Owner
Phone
(305) 476-1650

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X HCC7168 FL Primary

Addresses

Primary practice location

3990 W Flagler St
Suite 205
Coral Gables, FL 33134-1644

Mailing address

3990 W Flagler St
Suite 205
Coral Gables, FL 33134-1644
Phone (305) 476-1650

Other identifiers 1

IdentifierTypeStateIssuer
HCC7168OtherFLAHCA LICENSE

National Provider Directory

National Provider Directory

Locations

3990 W Flagler St
Ste 205
Coral Gables, FL 33134
Phone (305) 476-1650

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679667034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3990 W FLAGLER ST",
            "address_2": "SUITE 205",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331341644",
            "telephone_number": "305-476-1650",
            "fax_number": "305-476-1649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3990 W FLAGLER ST",
            "address_2": "SUITE 205",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331341644",
            "telephone_number": "305-476-1650",
            "fax_number": "305-476-1649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNY MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "RAUL",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "305-476-1650",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "HCC7168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA LICENSE",
            "identifier": "HCC7168",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, 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.