Organization Active NPI

Doral Relief Medical Center

  • Clinic/Center
  • Doral, FL
National Provider Identifier
1720453855
Registry record updated Dec 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
HCC10469 Issued in FL
Legal business name
DORAL RELIEF MEDICAL CENTER
Practice address
3900 NW 79TH Ave Ste 559
Doral, FL 33166-6562
Phone
(786) 534-5112
Fax
(786) 502-8131
NPI assigned
Dec 1, 2015
Last updated
Dec 1, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2015

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

Authorized official

Name
Mr. Guillermo Estrada
Title
Owner
Phone
(786) 534-5112

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X HCC10469 FL Primary

Addresses

Primary practice location

3900 NW 79TH Ave Ste 559
Doral, FL 33166-6562

Mailing address

3900 NW 79TH Ave Ste 559
Doral, FL 33166-6562
Phone (786) 534-5112

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1448928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448928000000",
    "number": "1720453855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 NW 79TH AVE STE 559",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666562",
            "telephone_number": "786-534-5112",
            "fax_number": "786-502-8131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 NW 79TH AVE STE 559",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666562",
            "telephone_number": "786-534-5112",
            "fax_number": "786-502-8131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DORAL RELIEF MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-01",
        "last_updated": "2015-12-01",
        "status": "A",
        "authorized_official_last_name": "ESTRADA",
        "authorized_official_first_name": "GUILLERMO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-534-5112",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "HCC10469",
            "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 1, 2015; 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.