NPIMap

Organization Active NPI

Loyalty Medical Center Inc

  • Health Service Clinic/Center
  • Doral, FL
National Provider Identifier
1710384805
Registry record updated Dec 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
ME114414 Issued in FL
Legal business name
LOYALTY MEDICAL CENTER INC
Practice address
3900 NW 79TH Ave
Suite 591
Doral, FL 33166-6556
Phone
(786) 397-1342
Fax
(305) 397-2301
NPI assigned
Dec 4, 2014
Last updated
Dec 4, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2014

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

Authorized official

Name
Dr. Mario Alberto Jimenez, M.D.
Title
Medical Director
Phone
(786) 397-1342

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X ME114414 FL Primary

Addresses

Primary practice location

3900 NW 79TH Ave
Suite 591
Doral, FL 33166-6556

Mailing address

3900 NW 79TH Ave
Suite 591
Doral, FL 33166-6556
Phone (786) 397-1342

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1417651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417651200000",
    "number": "1710384805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 NW 79TH AVE",
            "address_2": "SUITE 591",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666556",
            "telephone_number": "786-397-1342",
            "fax_number": "305-397-2301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 NW 79TH AVE",
            "address_2": "SUITE 591",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666556",
            "telephone_number": "786-397-1342",
            "fax_number": "305-397-2301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOYALTY MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-04",
        "last_updated": "2014-12-04",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ",
        "authorized_official_first_name": "MARIO",
        "authorized_official_middle_name": "ALBERTO",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "786-397-1342",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "FL",
            "license": "ME114414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2014; 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.