NPIMap

Organization Active NPI

Centers of Medical Excellence, LLC

  • General Practice Physician
  • Miami, FL
National Provider Identifier
1801627781
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
CENTERS OF MEDICAL EXCELLENCE, LLC
Practice address
5850 W Flagler Street
Miami, FL 33144-3363
Phone
(305) 263-9590
Fax
(305) 263-9657
NPI assigned
Aug 12, 2024
Last updated
Aug 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

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

Authorized official

Name
Sadita Bustamante
Title
Coo
Phone
(305) 874-3909

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X NU Primary

Addresses

Primary practice location

5850 W Flagler Street
Miami, FL 33144-3363

Mailing address

7925 NW 12 Street
Suite 201
Doral, FL 33126-1821
Phone (305) 874-3909

National Provider Directory

National Provider Directory
Tax ID family
Centers of Medical Excellence LLC10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Networks

  • HealthSun Health Plans Network

NPI Registry JSON

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

{
    "created_epoch": "1723420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723420800000",
    "number": "1801627781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7925 NW 12 STREET",
            "address_2": "SUITE 201",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331261821",
            "telephone_number": "305-874-3909",
            "fax_number": "305-874-3916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5850 W FLAGLER STREET",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331443363",
            "telephone_number": "305-263-9590",
            "fax_number": "305-263-9657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTERS OF MEDICAL EXCELLENCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-12",
        "last_updated": "2024-08-12",
        "status": "A",
        "authorized_official_last_name": "BUSTAMANTE",
        "authorized_official_first_name": "SADITA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "305-874-3909"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; 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.