Organization Active NPI

Campos Mental Health Center Corp

  • Family Medicine Physician
  • Hialeah, FL
National Provider Identifier
1699472274
Registry record updated Jul 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CAMPOS MENTAL HEALTH CENTER CORP
Practice address
1490 W 49TH PL Ste 301
Hialeah, FL 33012-8131
Phone
(305) 776-9499
NPI assigned
Feb 14, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2024

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

Authorized official

Name
Jorge Rodriguez Campo
Title
President
Phone
(305) 776-9499

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

1490 W 49TH PL Ste 301
Hialeah, FL 33012-8131

Mailing address

1490 W 49TH PL Ste 301
Hialeah, FL 33012-8131
Phone (305) 776-9499

National Provider Directory

National Provider Directory

Locations

1490 W 49th Pl
Ste 301
Hialeah, FL 33012
Phone (305) 776-9499

NPI Registry JSON

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

{
    "created_epoch": "1676332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721952000000",
    "number": "1699472274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1490 W 49TH PL STE 301",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330128131",
            "telephone_number": "305-776-9499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1490 W 49TH PL STE 301",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330128131",
            "telephone_number": "305-776-9499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMPOS MENTAL HEALTH CENTER CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-14",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ CAMPO",
        "authorized_official_first_name": "JORGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-776-9499"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2024; 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.