Medigroup of Dade Corp

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

HCC11032 Issued in FL

Legal business name

MEDIGROUP OF DADE CORP

Practice address

3383 NW 7TH St Ste 306
Miami, FL 33125-4140

Phone

(786) 212-1007

Fax

(786) 703-7142

NPI assigned

Jan 20, 2014

Organization subpart

No

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

Authorized official

Name

Humberto Martinez

Title

President

Phone

(786) 212-1007

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1390176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394582400000",
    "number": "1720400112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3383 NW 7TH ST STE 306",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331254140",
            "telephone_number": "786-212-1007",
            "fax_number": "786-703-7142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3383 NW 7TH ST STE 306",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331254140",
            "telephone_number": "786-212-1007",
            "fax_number": "786-703-7142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDIGROUP OF DADE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-20",
        "last_updated": "2014-03-12",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "HUMBERTO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-212-1007"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "FL",
            "license": "HCC11032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Medilife USA Inc
• Medimax Inc.
• Medimpact Clinical and Investigational Center
• Yoslay Alberto Medina Alba
• Sandra Medina Alonso

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.