Blue Medical Center Corp

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

BLUE MEDICAL CENTER CORP

Practice address

7805 SW 24TH St Ste 129
Miami, FL 33155-6553

Phone

(305) 400-8580

Fax

(305) 364-5438

NPI assigned

Jul 23, 2020

Organization subpart

No

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

Authorized official

Name

Israel Libera

Title

President

Phone

(305) 400-8580

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1595462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595462400000",
    "number": "1801405170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7805 SW 24TH ST STE 129",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331556553",
            "telephone_number": "305-400-8580",
            "fax_number": "305-364-5438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7805 SW 24TH ST STE 129",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331556553",
            "telephone_number": "305-400-8580",
            "fax_number": "305-364-5438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE MEDICAL CENTER CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-23",
        "last_updated": "2020-07-23",
        "certification_date": "2020-07-23",
        "status": "A",
        "authorized_official_last_name": "LIBERA",
        "authorized_official_first_name": "ISRAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-400-8580"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Blue Medical Network Inc
• Blue Medical Spa & Research Corp
• Blue Oak Medical Center LLC
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• Blue Oceans Research Inc

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.