Palmetto Medical Center Group, Corp

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

PALMETTO MEDICAL CENTER GROUP, CORP

Practice address

17220 NW 64TH Ave Apt 112
Hialeah, FL 33015-6309

Phone

(786) 259-3984

NPI assigned

Aug 27, 2024

Last updated

Aug 27, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Idalmis GuerraNPI 1912475849

Title

President

Phone

(786) 259-3984

Specialties & licenses 1

Addresses

Other names 1

• PALMETTO MEDICAL CENTER GROUP, CORP Former legal business name

Practitioners 1

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.

• Idalmis Guerra

  • Clinic/Center
  • Miami, FL
  • NPI 1912475849
  NPD Authorized official

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

{
    "created_epoch": "1724716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724716800000",
    "number": "1831923440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17220 NW 64TH AVE APT 112",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330156309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17220 NW 64TH AVE APT 112",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330156309",
            "telephone_number": "786-259-3984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO MEDICAL CENTER GROUP, CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-27",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A",
        "authorized_official_last_name": "GUERRA",
        "authorized_official_first_name": "IDALMIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-259-3984"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PALMETTO MEDICAL CENTER GROUP, CORP",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Palmetto General Hosptial
• Palmetto General Medical Rehab Inc
• Palmetto Health Medical Center Corp
• Palmetto Home Care Corp
• Palmetto Lakes Surgical Center, LLC
• Palmetto Medical Equipment & Supplies Inc.
• Palmetto Medical Imaging
• Palmetto Nursing and Rehab LLC
• Palmetto Open MRI Inc
• Palmetto Open MRI, Inc

• Clinic/Center in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.