Habana Medical Center

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

HCC5013 Issued in FL

Legal business name

HABANA MEDICAL CENTER

Practice address

5352 N Habana Ave Ste 1
Tampa, FL 33614-6838

Phone

(813) 871-6064

Fax

(813) 871-6025

NPI assigned

Sep 7, 2010

Organization subpart

No

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

Authorized official

Name

Gretell Padron

Title

President

Phone

(813) 871-6064

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1283817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294963200000",
    "number": "1770890261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5352 N HABANA AVE STE 1",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336146838",
            "telephone_number": "813-871-6064",
            "fax_number": "813-871-6025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5352 N HABANA AVE STE 1",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336146838",
            "telephone_number": "813-871-6064",
            "fax_number": "813-871-6025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HABANA MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-07",
        "last_updated": "2011-01-14",
        "status": "A",
        "authorized_official_last_name": "PADRON",
        "authorized_official_first_name": "GRETELL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-871-6064"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "HCC5013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mutaz B Habal, M.D.
• Miriam Esther Haban, P.T.A
• Habana Ambulatory Surgery Center LLC
• Habana Dental Care
• Habana Hospital Pharmacy Inc.
• Habana Medical Center, Inc
• Habana Spine and Medical Clinic
• Habana Way Opco LLC
• Judith Russ Habasevich, PT
• Scott A. Haber, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2011; 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.