Atlantic Group Medical Center Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

ATLANTIC GROUP MEDICAL CENTER INC

Practice address

7769 NW 48TH St Ste 180
Doral, FL 33166-5463

Phone

(786) 355-1964

NPI assigned

May 2, 2021

Last updated

May 2, 2021By 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

Mrs. Lourdes J Diaz

Title

President

Phone

(786) 355-1964

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1619913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619913600000",
    "number": "1730762352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7769 NW 48TH ST STE 180",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331665463",
            "telephone_number": "786-355-1964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7769 NW 48TH ST STE 180",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331665463",
            "telephone_number": "786-355-1964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC GROUP MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-02",
        "last_updated": "2021-05-02",
        "certification_date": "2021-05-02",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "LOURDES",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-355-1964",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Doral, FL
• Providers in Doral, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2021; 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.