Organization Active NPI

Ninette&Daimis Corp

  • Clinic/Center
  • Hollywood, FL
National Provider Identifier
1700306099
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
ACN676 Issued in FL
Legal business name
NINETTE&DAIMIS CORP
Practice address
3157 N University Dr Ste 103
Hollywood, FL 33024-2258
Phone
(954) 332-8985
Fax
(954) 332-8981
NPI assigned
Jun 27, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Daimis Vazquez Rosabal, MDNPI 1124422522
Title
Owner
Phone
(786) 343-3552

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
Clinic/Center 261Q00000X ACN676 FL Primary

Addresses

Primary practice location

3157 N University Dr Ste 103
Hollywood, FL 33024-2258

Mailing address

3157 N University Dr Ste 103
Hollywood, FL 33024-2258
Phone (954) 332-8985

Other identifiers 1

IdentifierTypeStateIssuer
ACN676OtherFLMD LICENSE

Other names 1

  • Ninette&Daimis corp Former legal business name

National Provider Directory

National Provider Directory

Locations

3157 N University Dr
Ste 103
Pembroke Pines, FL 33024
Phone (954) 322-8985

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": "1498521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1700306099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3157 N UNIVERSITY DR STE 103",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330242258",
            "telephone_number": "954-332-8985",
            "fax_number": "954-332-8981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3157 N UNIVERSITY DR STE 103",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330242258",
            "telephone_number": "954-332-8985",
            "fax_number": "954-332-8981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NINETTE&DAIMIS CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-27",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "VAZQUEZ ROSABAL",
        "authorized_official_first_name": "DAIMIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-343-3552",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "ACN676",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD LICENSE",
            "identifier": "ACN676",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ninette&Daimis corp",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Jul 21, 2022; 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.