Organization Active NPI

Shelton Medical Services,Inc

  • General Practice Physician
  • Miami, FL
National Provider Identifier
1730697327
Registry record updated Jul 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
SHELTON MEDICAL SERVICES,INC
Practice address
3525 NW 7TH St
Miami, FL 33125-4015
Phone
(786) 801-0218
Fax
(786) 353-9125
NPI assigned
Jan 17, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2020

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

Authorized official

Name
Gretell Kamanel
Title
President
Phone
(786) 801-0218

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208D00000X Primary
Community/Behavioral Health Agency 251S00000X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X HCC10414 FL
Physical Therapy Clinic/Center 261QP2000X

Addresses

Primary practice location

3525 NW 7TH St
Miami, FL 33125-4015

Mailing address

3525 NW 7TH St
Miami, FL 33125-4015
Phone (786) 801-0218

National Provider Directory

National Provider Directory

Locations

3525 NW 7th St
Miami, FL 33125
Phone (786) 801-0218

3383 NW 7th St
Ste 308
Miami, FL 33125
Phone (305) 817-5611

NPI Registry JSON

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

{
    "created_epoch": "1516147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594080000000",
    "number": "1730697327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3525 NW 7TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331254015",
            "telephone_number": "786-801-0218",
            "fax_number": "786-353-9125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3525 NW 7TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331254015",
            "telephone_number": "786-801-0218",
            "fax_number": "786-353-9125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELTON MEDICAL SERVICES,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-17",
        "last_updated": "2020-07-07",
        "certification_date": "2020-07-07",
        "status": "A",
        "authorized_official_last_name": "KAMANEL",
        "authorized_official_first_name": "GRETELL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-801-0218"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "FL",
            "license": "HCC10414",
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.