Organization Active NPI

LP Medical Center, Inc

  • Health Service Clinic/Center
  • Hialeah, FL
National Provider Identifier
1760743876
Registry record updated Jun 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
HCC4034 Issued in FL
Legal business name
LP MEDICAL CENTER, INC
Practice address
4058 W 12TH Ave
Hialeah, FL 33012-4106
Phone
(305) 819-8094
Fax
(305) 819-8128
NPI assigned
Jun 5, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2012

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

Authorized official

Name
Pedro Lopez
Title
President
Phone
(305) 819-8094

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X HCC4034 FL Primary

Addresses

Primary practice location

4058 W 12TH Ave
Hialeah, FL 33012-4106

Mailing address

4058 W 12TH Ave
Hialeah, FL 33012-4106
Phone (305) 819-8094

National Provider Directory

National Provider Directory

Locations

4058 W 12th Ave
Hialeah, FL 33012
Phone (305) 819-8094

NPI Registry JSON

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

{
    "created_epoch": "1338854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338854400000",
    "number": "1760743876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4058 W 12TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330124106",
            "telephone_number": "305-819-8094",
            "fax_number": "305-819-8128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4058 W 12TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330124106",
            "telephone_number": "305-819-8094",
            "fax_number": "305-819-8128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LP MEDICAL CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-05",
        "last_updated": "2012-06-05",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "PEDRO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-819-8094"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "FL",
            "license": "HCC4034",
            "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 Jun 5, 2012; 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.