Organization Active NPI

Brother Medical Center Inc

  • Clinic/Center
  • Coral Gables, FL
National Provider Identifier
1699716654
Registry record updated Feb 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
HCC4446 Issued in FL
Legal business name
BROTHER MEDICAL CENTER INC
Practice address
3990 W Flagler St
Suite201
Coral Gables, FL 33134-1644
Phone
(305) 476-0033
Fax
(305) 476-0648
NPI assigned
Jun 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2009

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

Authorized official

Name
Mr. Roberto Gutierrez
Title
President
Phone
(786) 355-5750

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X HCC4446 FL Primary

Addresses

Primary practice location

3990 W Flagler St
Suite201
Coral Gables, FL 33134-1644

Mailing address

3990 W Flagler St
Suite 201
Coral Gables, FL 33134-1644
Phone (305) 476-0033

Other identifiers 1

IdentifierTypeStateIssuer
HCC4446OtherFLAHCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234828800000",
    "number": "1699716654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3990 W FLAGLER ST",
            "address_2": "SUITE 201",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331341644",
            "telephone_number": "305-476-0033",
            "fax_number": "305-476-0648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3990 W FLAGLER ST",
            "address_2": "SUITE201",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331341644",
            "telephone_number": "305-476-0033",
            "fax_number": "305-476-0648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROTHER MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2009-02-17",
        "status": "A",
        "authorized_official_last_name": "GUTIERREZ",
        "authorized_official_first_name": "ROBERTO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-355-5750",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "HCC4446",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA",
            "identifier": "HCC4446",
            "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 Feb 17, 2009; 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.