Organization Active NPI

Universal Medical Center of Westchester

  • Clinic/Center
  • Miami, FL
National Provider Identifier
1760627517
Registry record updated Dec 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
HCC8316 Issued in FL
Legal business name
UNIVERSAL MEDICAL CENTER OF WESTCHESTER
Practice address
1631 S.W. 107 Ave
Miami, FL 33165
Phone
(786) 422-6525
Fax
(786) 422-6535
NPI assigned
Dec 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2008

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

Authorized official

Name
Mr. Octavio Alexis Bravo
Title
Managing Member
Phone
(786) 422-6525

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X HCC8316 FL Primary

Addresses

Primary practice location

1631 S.W. 107 Ave
Miami, FL 33165

Mailing address

1631 S.W. 107 Ave
Miami, FL 33165
Phone (786) 422-6525

National Provider Directory

National Provider Directory

Locations

1631 SW 107th Ave
Miami, FL 33165
Phone (786) 422-6525

NPI Registry JSON

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

{
    "created_epoch": "1228780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228780800000",
    "number": "1760627517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1631 S.W. 107 AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33165",
            "telephone_number": "786-422-6525",
            "fax_number": "786-422-6535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1631 S.W. 107 AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33165",
            "telephone_number": "786-422-6525",
            "fax_number": "786-422-6535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSAL MEDICAL CENTER OF WESTCHESTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-09",
        "last_updated": "2008-12-09",
        "status": "A",
        "authorized_official_last_name": "BRAVO",
        "authorized_official_first_name": "OCTAVIO",
        "authorized_official_middle_name": "ALEXIS",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "786-422-6525",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "HCC8316",
            "primary": true
        }
    ],
    "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 Dec 9, 2008; 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.