NPIMap

Organization Active NPI

Jac Medical Center, Inc

  • Clinic/Center
  • Hialeah, FL
National Provider Identifier
1730475807
Registry record updated Jun 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
HCC9144 Issued in FL
Legal business name
JAC MEDICAL CENTER, INC
Practice address
8001 W 26TH Ave
Ste 3
Hialeah, FL 33016-2753
Phone
(305) 827-2033
NPI assigned
Jun 27, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2011

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

Authorized official

Name
Noel Fernandez
Title
President
Phone
(305) 827-2033

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X HCC9144 FL Primary

Addresses

Primary practice location

8001 W 26TH Ave
Ste 3
Hialeah, FL 33016-2753

Mailing address

8001 W 26TH Ave
Ste 3
Hialeah, FL 33016-2753

National Provider Directory

National Provider Directory
Tax ID family
Jac Medical Center Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1309132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309132800000",
    "number": "1730475807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8001 W 26TH AVE",
            "address_2": "STE 3",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330162753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8001 W 26TH AVE",
            "address_2": "STE 3",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330162753",
            "telephone_number": "305-827-2033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAC MEDICAL CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-27",
        "last_updated": "2011-06-27",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "NOEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-827-2033"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "HCC9144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2011; 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.