C a Medical Service Corp

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

C A MEDICAL SERVICE CORP

Practice address

3750 W 16TH Ave Ste 248
Hialeah, FL 33012-4648

Phone

(786) 955-5546

Fax

(305) 823-8821

NPI assigned

Oct 28, 2010

Last updated

Jun 4, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jorge Luis Diaz, LMTNPI 1265732853

Title

Owner

Phone

(786) 955-5546

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jorge Luis Diaz, LMT

  • Massage Therapist
  • Miami, FL
  • NPI 1265732853
  Authorized official Same address or phone

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

{
    "created_epoch": "1288224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401840000000",
    "number": "1780984377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3750 W 16TH AVE STE 248",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330124648",
            "telephone_number": "786-955-5546",
            "fax_number": "305-823-8821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3750 W 16TH AVE STE 248",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330124648",
            "telephone_number": "786-955-5546",
            "fax_number": "305-823-8821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C A MEDICAL SERVICE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-28",
        "last_updated": "2014-06-04",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "LUIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-955-5546",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2014; 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.