Pac Medical Center

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

PAC MEDICAL CENTER

Practice address

4311 Palm Ave Ste 3
Hialeah, FL 33012-4021

Phone

(305) 823-7740

Fax

(305) 823-8524

NPI assigned

Jul 12, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Juan Julio Hernandez, MD

Title

President

Phone

(305) 823-7740

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700811379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4311 PALM AVE STE 3",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330124021",
            "telephone_number": "305-823-7740",
            "fax_number": "305-823-8524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4311 PALM AVE STE 3",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330124021",
            "telephone_number": "305-823-7740",
            "fax_number": "305-823-8524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAC MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "JULIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-823-7740",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• P O S Therapy Services Corp
• P/S Home Health Care
• PA Rehab
• Pabel Home Health Care, Inc.
• Erika Pablos-Velez, PSY.D.
• Pac Medical Center LLC
• Pac Medical Services Corp
• Gabriel Pacareu
• Pacer Medical Supplies Corp.
• Mirna Carolina Pacheco Caceres

• Clinic/Center in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.