Organization Active NPI

PCM Medical Center Inc

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Hialeah, FL
National Provider Identifier
1780670901
Registry record updated Aug 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
Legal business name
PCM MEDICAL CENTER INC
Practice address
731 E 9TH St
Hialeah, FL 33010-4553
Phone
(305) 863-2060
Fax
(305) 863-2027
NPI assigned
Sep 22, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2008

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

Authorized official

Name
Mr. Osvaldo Ricardo
Title
President
Phone
(305) 863-2060

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X HCC3708 FL
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X Primary

Addresses

Primary practice location

731 E 9TH St
Hialeah, FL 33010-4553

Mailing address

731 E 9TH St
Hialeah, FL 33010-4553
Phone (305) 863-2060

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1127347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219708800000",
    "number": "1780670901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 E 9TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330104553",
            "telephone_number": "305-863-2060",
            "fax_number": "305-863-2027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 E 9TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330104553",
            "telephone_number": "305-863-2060",
            "fax_number": "305-863-2027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PCM MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-22",
        "last_updated": "2008-08-26",
        "status": "A",
        "authorized_official_last_name": "RICARDO",
        "authorized_official_first_name": "OSVALDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-863-2060",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "HCC3708",
            "primary": false
        },
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "license": null,
            "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 Aug 26, 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.