Yd Medical Center Corp

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME56855 Issued in FL

Legal business name

YD MEDICAL CENTER CORP

Practice address

13255 SW 137TH Ave Ste 213
Miami, FL 33186-5328

Phone

(786) 366-1742

Fax

(305) 397-2406

NPI assigned

Jan 19, 2013

Last updated

Jan 19, 2013By 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

Enrique Duenas, CEO

Title

President

Phone

(786) 366-1742

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1358553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358553600000",
    "number": "1790023158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13255 SW 137TH AVE STE 213",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331865328",
            "telephone_number": "786-366-1742",
            "fax_number": "305-397-2406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13255 SW 137TH AVE STE 213",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331865328",
            "telephone_number": "786-366-1742",
            "fax_number": "305-397-2406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YD MEDICAL CENTER CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-19",
        "last_updated": "2013-01-19",
        "status": "A",
        "authorized_official_last_name": "DUENAS",
        "authorized_official_first_name": "ENRIQUE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-366-1742",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME56855",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CMERCIAL INSURANCES, HMO,PPO",
            "identifier": "2013FLO25",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Miami, FL
• Providers in Miami, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2013; 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.