RDM Medical Center, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

HCC6354 Issued in FL

Legal business name

RDM MEDICAL CENTER, LLC

Practice address

1840 W 49TH St Ste 404
Hialeah, FL 33012-2978

Phone

(305) 823-1959

Fax

(305) 823-1977

NPI assigned

Jul 5, 2006

Organization subpart

No

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

Authorized official

Name

Denisse Martinez

Title

Manager/Co-Owner

Phone

(305) 823-1959

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760413223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 W 49TH ST STE 404",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330122978",
            "telephone_number": "305-823-1959",
            "fax_number": "305-823-1977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 W 49TH ST STE 404",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330122978",
            "telephone_number": "305-823-1959",
            "fax_number": "305-823-1977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RDM MEDICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "DENISSE",
        "authorized_official_title_or_position": "MANAGER/CO-OWNER",
        "authorized_official_telephone_number": "305-823-1959"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "HCC6354",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE HEALTH CARE LICENSE",
            "identifier": "HCC6354",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Clinic/Center in Florida

• 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.