NPIMap

Organization Active NPI

Nazare Medical Center, Corp

  • Family Nurse Practitioner
  • Hialeah, FL
National Provider Identifier
1700135928
Registry record updated Sep 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN9214684 Issued in FL
Legal business name
NAZARE MEDICAL CENTER, CORP
Practice address
55 W 29TH St
Hialeah, FL 33012-5739
Phone
(786) 332-4931
Fax
(786) 334-6403
NPI assigned
Sep 4, 2012
Last updated
Sep 4, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2012

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

Authorized official

Name
Daily V YbargollinNPI 1558665992
Title
Owner
Phone
(305) 123-4567

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN9214684 FL Primary

Addresses

Primary practice location

55 W 29TH St
Hialeah, FL 33012-5739

Mailing address

55 W 29TH St
Hialeah, FL 33012-5739
Phone (786) 332-4931

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1346716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346716800000",
    "number": "1700135928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 W 29TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330125739",
            "telephone_number": "786-332-4931",
            "fax_number": "786-334-6403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 W 29TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330125739",
            "telephone_number": "786-332-4931",
            "fax_number": "786-334-6403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAZARE MEDICAL CENTER, CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-04",
        "last_updated": "2012-09-04",
        "status": "A",
        "authorized_official_last_name": "YBARGOLLIN",
        "authorized_official_first_name": "DAILY",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-123-4567"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "RN9214684",
            "primary": true
        }
    ],
    "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 Sep 4, 2012; 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.