Mercy Surgical & Medical Center

Primary specialty

SpecialistTaxonomy code 174400000X

License

HCC2996 Issued in FL

Legal business name

MERCY SURGICAL & MEDICAL CENTER

Practice address

948 E 25TH St
Hialeah, FL 33013-3404

Phone

(305) 836-8299

Fax

(305) 836-8299

NPI assigned

Mar 28, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ernesto Carralero

Title

President

Phone

(305) 836-8299

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710006812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "948 E 25TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330133404",
            "telephone_number": "305-836-8299",
            "fax_number": "305-836-8299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "948 E 25TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330133404",
            "telephone_number": "305-836-8299",
            "fax_number": "305-836-8299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY SURGICAL & MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CARRALERO",
        "authorized_official_first_name": "ERNESTO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-836-8299"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "HCC2996",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA HEALTH CARE CLINIC",
            "identifier": "HCC2996",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Specialist 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.