Holy Medical Center Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

ME91436 Issued in FL

Legal business name

HOLY MEDICAL CENTER INC

Practice address

2740 SW 97TH Ave
Suite a-111
Miami, FL 33165-2681

Phone

(786) 616-8037

NPI assigned

Mar 2, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Jorge Coello

Title

President

Phone

(786) 616-8037

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1425254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425254400000",
    "number": "1811389729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2740 SW 97TH AVE",
            "address_2": "SUITE A-111",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331652681",
            "telephone_number": "786-616-8037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2740 SW 97TH AVE",
            "address_2": "SUITE A-111",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331652681",
            "telephone_number": "786-616-8037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLY MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-02",
        "last_updated": "2015-03-02",
        "status": "A",
        "authorized_official_last_name": "COELLO",
        "authorized_official_first_name": "JORGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-616-8037",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "ME91436",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD",
            "identifier": "ME91436",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patricia A. Holt, LMHC
• Bruce James Holtzman, D.P.M.
• Jenna Paige Holtzman, BCBA
• Noa G. Holtzman, M.D.
• Holy Family Group Home, Alf,Inc
• Michael D Holzer, MD
• Bonnie Sue Holzman, MASSAGE THERAPIST PE
• Behrang Homayoon, MD
• Home Away Alf LLC
• Home Away From Home

• 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 Mar 2, 2015; 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.