Organization Active NPI

Nova Medical Center Inc,

  • Physical Medicine & Rehabilitation Physician
  • Miami, FL
National Provider Identifier
1700449469
Registry record updated Dec 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
NOVA MEDICAL CENTER INC,
Practice address
1150 NW 72ND Ave
Miami, FL 33126-1936
Phone
(305) 790-2879
NPI assigned
Apr 18, 2019
Last updated
Dec 1, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2020

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

Authorized official

Name
Maidelys Martinez
Title
Owner/ Administrator
Phone
(305) 790-2879

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X NU Primary

Addresses

Primary practice location

1150 NW 72ND Ave
Miami, FL 33126-1936

Mailing address

1150 NW 72ND Ave
Miami, FL 33126-1936
Phone (305) 790-2879

National Provider Directory

National Provider Directory

Locations

1150 NW 72nd Ave
Miami, FL 33126
Phone (305) 790-2879

NPI Registry JSON

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

{
    "created_epoch": "1555545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606780800000",
    "number": "1700449469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 NW 72ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331261936",
            "telephone_number": "305-790-2879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 NW 72ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331261936",
            "telephone_number": "305-790-2879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA MEDICAL CENTER INC,",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-18",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "MAIDELYS",
        "authorized_official_title_or_position": "OWNER/ ADMINISTRATOR",
        "authorized_official_telephone_number": "305-790-2879"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.