Organization Active NPI

Palmetto Medical Center Inc

  • Family Medicine Physician
  • Virginia Gardens, FL
National Provider Identifier
1831142363
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PALMETTO MEDICAL CENTER INC
Practice address
6501 NW 36TH St
Suite 414
Virginia Gardens, FL 33166-6959
Phone
(305) 874-2258
NPI assigned
May 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Felipe Aguilar
Title
President
Phone
(305) 874-2258

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

6501 NW 36TH St
Suite 414
Virginia Gardens, FL 33166-6959

Mailing address

6501 NW 36TH St
Suite 414
Virginia Gardens, FL 33166-6959
Phone (305) 874-2258

National Provider Directory

National Provider Directory
Tax ID family
Palmetto Medical Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831142363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6501 NW 36TH ST",
            "address_2": "SUITE 414",
            "city": "VIRGINIA GARDENS",
            "state": "FL",
            "postal_code": "331666959",
            "telephone_number": "305-874-2258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6501 NW 36TH ST",
            "address_2": "SUITE 414",
            "city": "VIRGINIA GARDENS",
            "state": "FL",
            "postal_code": "331666959",
            "telephone_number": "305-874-2258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AGUILAR",
        "authorized_official_first_name": "FELIPE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-874-2258"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.