Organization Active NPI

South Miami Medical Center Inc

  • Clinic/Center
  • Miami Gardens, FL
National Provider Identifier
1821669193
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
SOUTH MIAMI MEDICAL CENTER INC
Practice address
111 NW 183Rd St Ste 405
Miami Gardens, FL 33169-4619
Phone
(786) 250-4089
NPI assigned
Jul 7, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2024

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

Authorized official

Name
Amaury Rodriguez Rodriguez
Title
President
Phone
(786) 935-8349

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

111 NW 183Rd St Ste 405
Miami Gardens, FL 33169-4619

Mailing address

111 NW 183Rd St Ste 405
Miami Gardens, FL 33169-4619
Phone (786) 935-8349

National Provider Directory

National Provider Directory

Locations

111 NW 183rd St
Ste 405
Miami Gardens, FL 33169
Phone (786) 250-4089

NPI Registry JSON

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

{
    "created_epoch": "1625616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728345600000",
    "number": "1821669193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 NW 183RD ST STE 405",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331694619",
            "telephone_number": "786-935-8349",
            "fax_number": "786-935-8349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 NW 183RD ST STE 405",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331694619",
            "telephone_number": "786-250-4089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH MIAMI MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-07",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ RODRIGUEZ",
        "authorized_official_first_name": "AMAURY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-935-8349"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.