NPIMap

Organization Active NPI

Early Time Medical Center Inc

  • Health Service Clinic/Center
  • Hialeah, FL
National Provider Identifier
1710376389
Registry record updated Jan 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
ME55442 Issued in FL
Legal business name
EARLY TIME MEDICAL CENTER INC
Practice address
1275 W 47TH PL Ste 305
Hialeah, FL 33012-3447
Phone
(786) 409-2495
Fax
(786) 409-2472
NPI assigned
Jan 20, 2015
Reactivated
Jan 19, 2017
Last updated
Jan 19, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2017

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

Authorized official

Name
Mr. Abel Rivera Llanes
Title
President
Phone
(786) 762-3907

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X ME55442 FL Primary

Addresses

Primary practice location

1275 W 47TH PL Ste 305
Hialeah, FL 33012-3447

Mailing address

1275 W 47TH PL Ste 305
Hialeah, FL 33012-3447
Phone (786) 409-2495

National Provider Directory

National Provider Directory
Tax ID family
Early Time Medical Center Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1421712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484784000000",
    "number": "1710376389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 W 47TH PL STE 305",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123447",
            "telephone_number": "786-409-2495",
            "fax_number": "786-409-2472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 W 47TH PL STE 305",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123447",
            "telephone_number": "786-409-2495",
            "fax_number": "786-409-2472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EARLY TIME MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-20",
        "last_updated": "2017-01-19",
        "deactivation_date": "2016-12-07",
        "reactivation_date": "2017-01-19",
        "status": "A",
        "authorized_official_last_name": "RIVERA LLANES",
        "authorized_official_first_name": "ABEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-762-3907",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "FL",
            "license": "ME55442",
            "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 Jan 19, 2017; 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.