South Dade Medical Center, Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

HCC9592 Issued in FL

Legal business name

SOUTH DADE MEDICAL CENTER, INC

Practice address

935 SW 122ND Ave
Miami, FL 33184-2406

Phone

(786) 391-0553

NPI assigned

Dec 13, 2012

Last updated

Dec 13, 2012By 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

Mr. Francisco Abreu

Title

Administrator

Phone

(786) 391-0553

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1355356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355356800000",
    "number": "1720324072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 SW 122ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331842406",
            "telephone_number": "786-391-0553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 SW 122ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331842406",
            "telephone_number": "786-391-0553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH DADE MEDICAL CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-13",
        "last_updated": "2012-12-13",
        "status": "A",
        "authorized_official_last_name": "ABREU",
        "authorized_official_first_name": "FRANCISCO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "786-391-0553",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "HCC9592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Beach Plastic Surgery, P.a.
• South Best Care Center Inc.
• South Carolina Bellamy Group, Inc.
• South Dade Hospital Medicine
• South Dade Medical Associates, LLC
• South Dade Medical Rehabilitation
• South Dade Medicine
• South Dade OB-GYN LLC
• South Dade Opco LLC
• South Dade Orthopaedic Associates PA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2012; 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.