Organization Active NPI

Doral Medical Office Corp

  • Specialist
  • Doral, FL
National Provider Identifier
1730134511
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
DORAL MEDICAL OFFICE CORP
Practice address
4005 NW 114TH Ave
Suite 22
Doral, FL 33178-4374
Phone
(305) 471-9524
Fax
(305) 471-9433
NPI assigned
May 23, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Edel Sanchez
Title
Owner
Phone
(305) 471-9524

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

4005 NW 114TH Ave
Suite 22
Doral, FL 33178-4374

Mailing address

4005 NW 114TH Ave
Suite 22
Doral, FL 33178-4374
Phone (305) 471-9524

National Provider Directory

National Provider Directory

Locations

4005 NW 114th Ave
Unit 22
Doral, FL 33178
Phone (305) 260-6913

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730134511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4005 NW 114TH AVE",
            "address_2": "SUITE 22",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331784374",
            "telephone_number": "305-471-9524",
            "fax_number": "305-471-9433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4005 NW 114TH AVE",
            "address_2": "SUITE 22",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331784374",
            "telephone_number": "305-471-9524",
            "fax_number": "305-471-9433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DORAL MEDICAL OFFICE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ",
        "authorized_official_first_name": "EDEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-471-9524",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "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 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.