NPIMap

Organization Active NPI

Century Medical Center of South Dade ,L.L.C

  • Family Medicine Physician
  • Hollywood, FL
National Provider Identifier
1760061550
Registry record updated Aug 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CENTURY MEDICAL CENTER OF SOUTH DADE ,L.L.C
Practice address
6565 Taft St Ste 100
Hollywood, FL 33024-4000
Phone
(305) 642-1042
NPI assigned
Apr 7, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2022

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

Authorized official

Name
Caridad Mireya Gallardo Pimentel, APRNNPI 1477139244
Title
President
Phone
(786) 461-1020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X Primary
Non-Pharmacy Dispensing Site 332900000X

Addresses

Primary practice location

6565 Taft St Ste 100
Hollywood, FL 33024-4000

Mailing address

1645 SW 107TH Ave
Miami, FL 33165-7344
Phone (305) 642-1042

Other names 1

  • Hollywood Medical Center Other name

National Provider Directory

National Provider Directory
Tax ID family
Century Medical Center of South Dade LLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

6565 Taft St
Ste 100
Hollywood, FL 33024
Phone (954) 331-4966

1645 SW 107th Ave
Miami, FL 33165
Phone (305) 642-1040

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 1

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": "1617753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659916800000",
    "number": "1760061550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1645 SW 107TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331657344",
            "telephone_number": "305-642-1042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6565 TAFT ST STE 100",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330244000",
            "telephone_number": "305-642-1042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTURY MEDICAL CENTER OF SOUTH DADE ,L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-07",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A",
        "authorized_official_last_name": "GALLARDO PIMENTEL",
        "authorized_official_first_name": "CARIDAD",
        "authorized_official_middle_name": "MIREYA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-461-1020",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hollywood Medical Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2022; 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.