Opac Health Care Corp

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME45769 Issued in FL

Legal business name

OPAC HEALTH CARE CORP

Practice address

15160 SW 136TH St
Suite 14
Miami, FL 33196-2662

Phone

(786) 260-5101

Fax

(786) 221-4087

NPI assigned

Apr 24, 2013

Last updated

Apr 24, 2013By 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

Juan Diaz-Delgado

Title

President

Phone

(786) 260-5101

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1366761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366761600000",
    "number": "1730523390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15160 SW 136TH ST",
            "address_2": "SUITE 14",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331962662",
            "telephone_number": "786-260-5101",
            "fax_number": "786-221-4087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15160 SW 136TH ST",
            "address_2": "SUITE 14",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331962662",
            "telephone_number": "786-260-5101",
            "fax_number": "786-221-4087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPAC HEALTH CARE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-24",
        "last_updated": "2013-04-24",
        "status": "A",
        "authorized_official_last_name": "DIAZ-DELGADO",
        "authorized_official_first_name": "JUAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-260-5101"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME45769",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMM INS",
            "identifier": "P1300029815",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Miami, FL
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• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2013; 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.