Illumina Medical Center of Hialeah, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

ILLUMINA MEDICAL CENTER OF HIALEAH, LLC

Practice address

200 W 49TH St
Hialeah, FL 33012-3714

Phone

(305) 254-8900

Fax

(305) 254-8902

NPI assigned

Dec 18, 2017

Organization subpart

No

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

Authorized official

Name

Angel Mongeotti

Title

Executive Director of Finance

Phone

(305) 254-8900

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1513555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518134400000",
    "number": "1801302500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1914 NW 84TH AVE",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331261030",
            "telephone_number": "305-254-8900",
            "fax_number": "305-254-8902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W 49TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123714",
            "telephone_number": "305-254-8900",
            "fax_number": "305-254-8902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLUMINA MEDICAL CENTER OF HIALEAH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-18",
        "last_updated": "2018-02-09",
        "status": "A",
        "authorized_official_last_name": "MONGEOTTI",
        "authorized_official_first_name": "ANGEL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "305-254-8900"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2018; 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.