South Miami Medical Center

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

569012-9 Issued in FL

Legal business name

SOUTH MIAMI MEDICAL CENTER

Doing business as

radiance

Practice address

4369 W 16TH Ave
Hialeah, FL 33012-7628

Phone

(305) 698-3880

Fax

(305) 698-3833

NPI assigned

Nov 15, 2006

Organization subpart

No

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

Authorized official

Name

Arturo Garcias

Title

President

Phone

(305) 698-3880

Specialties & licenses 1

Addresses

Other names 1

• radiance Doing business as

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720150584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4369 W 16TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330127628",
            "telephone_number": "305-698-3880",
            "fax_number": "305-698-3833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4369 W 16TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330127628",
            "telephone_number": "305-698-3880",
            "fax_number": "305-698-3833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH MIAMI MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GARCIAS",
        "authorized_official_first_name": "ARTURO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-698-3880"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "FL",
            "license": "569012-9",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "radiance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• South Florida Vision Services, Inc.
• South Florida Vision Services, Inc.
• South Florida Vision Services, Inc.
• South Florida Vision Services, Inc.
• South Florida Vision Services, Inc.
• South Miami Pain & Rehab Center, Inc
• Southeastern Medical Equipment
• Southern Diagnostic Inc
• Southern Market Distributors
• Southern Winds Hospital LLC

• Health Maintenance Organization in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Health Maintenance Organization 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.