Organization Active NPI

Sorisa Medical Center Inc

  • Family Medicine Physician
  • Hialeah, FL
National Provider Identifier
1740334895
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SORISA MEDICAL CENTER INC
Practice address
1085 E 4TH Ave
Suite No. C
Hialeah, FL 33010-4103
Phone
(305) 883-9642
NPI assigned
Jan 23, 2007
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
Marta Pichardo
Title
President
Phone
(305) 883-9642

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1085 E 4TH Ave
Suite No. C
Hialeah, FL 33010-4103

Mailing address

1085 E 4TH Ave
Suite No. C
Hialeah, FL 33010-4103

National Provider Directory

National Provider Directory

Locations

1085 E 4th Ave
Ste No
Hialeah, FL 33010
Phone (305) 883-9642

1085 E 4th Ave
Hialeah, FL 33010
Phone (305) 887-1212

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740334895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1085 E 4TH AVE",
            "address_2": "SUITE NO. C",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330104103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1085 E 4TH AVE",
            "address_2": "SUITE NO. C",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330104103",
            "telephone_number": "305-883-9642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SORISA MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PICHARDO",
        "authorized_official_first_name": "MARTA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-883-9642"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "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 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.