Organization Active NPI

Genesis Medical Center, Inc

  • General Practice Physician
  • Hialeah, FL
National Provider Identifier
1790727212
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
GENESIS MEDICAL CENTER, INC
Practice address
4765 W 8TH Ave
Hialeah, FL 33012-3554
Phone
(305) 828-1450
Fax
(305) 828-1408
NPI assigned
Jun 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Gladys Zambrana
Title
Manager
Phone
(305) 828-1450

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X FL Primary

Addresses

Primary practice location

4765 W 8TH Ave
Hialeah, FL 33012-3554

Mailing address

4765 W 8TH Ave
Hialeah, FL 33012-3554
Phone (305) 828-1450

National Provider Directory

National Provider Directory

Locations

4765 W 8th Ave
Fl 1
Hialeah, FL 33012
Phone (305) 698-6221

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790727212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4765 W 8TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123554",
            "telephone_number": "305-828-1450",
            "fax_number": "305-828-1408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4765 W 8TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123554",
            "telephone_number": "305-828-1450",
            "fax_number": "305-828-1408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS MEDICAL CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ZAMBRANA",
        "authorized_official_first_name": "GLADYS",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "305-828-1450"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "FL",
            "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 22, 2020; 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.