Organization Active NPI

Policlinico Santa Clara Inc

  • General Practice Physician
  • Miami, FL
National Provider Identifier
1811965395
Registry record updated Sep 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
POLICLINICO SANTA CLARA INC
Practice address
2742 SW 8TH St
Suite 19
Miami, FL 33135-4650
Phone
(305) 631-9903
Fax
(305) 649-6364
NPI assigned
Mar 9, 2006
Last updated
Sep 22, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2008

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

Authorized official

Name
Henry Lora, MDNPI 1578512935
Title
Owner
Phone
(305) 631-9903

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU
General Practice Physician 208D00000X NU Primary

Addresses

Primary practice location

2742 SW 8TH St
Suite 19
Miami, FL 33135-4650

Mailing address

2742 SW 8TH St
Suite 19
Miami, FL 33135-4650
Phone (305) 631-9903

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222041600000",
    "number": "1811965395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2742 SW 8TH ST",
            "address_2": "SUITE 19",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331354650",
            "telephone_number": "305-631-9903",
            "fax_number": "305-649-6364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2742 SW 8TH ST",
            "address_2": "SUITE 19",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331354650",
            "telephone_number": "305-631-9903",
            "fax_number": "305-649-6364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLICLINICO SANTA CLARA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-09",
        "last_updated": "2008-09-22",
        "status": "A",
        "authorized_official_last_name": "LORA",
        "authorized_official_first_name": "HENRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-631-9903",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "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 Sep 22, 2008; 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.