Dedicated Indiana Holding LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

DEDICATED INDIANA HOLDING LLC

Doing business as

Dedicated Senior Medical Center

Practice address

1395 NW 167TH St
Miami Gardens, FL 33169-5710

Phone

(305) 628-6117

NPI assigned

Sep 15, 2023

Last updated

Sep 15, 2023By 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

Mary Chen

Title

Authorized Official

Phone

(305) 628-6117

Specialties & licenses 1

Addresses

Other names 1

• DEDICATED SENIOR MEDICAL CENTER Doing business as

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.

• Christopher Chen, MD

  • Cardiovascular Disease Physician
  • Miami, FL
  • NPI 1740371152

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1694736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694736000000",
    "number": "1831977479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1395 NW 167TH ST",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331695710",
            "telephone_number": "305-628-6117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1395 NW 167TH ST",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331695710",
            "telephone_number": "305-628-6117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEDICATED INDIANA HOLDING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-15",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-13",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "305-628-6117"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DEDICATED SENIOR MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alina De Leon Calvo
• Vacir De Souza, LMHC, CAP
• Leonor Mirtha De Vales
• Debora Dejesus
• Carlos Alberto Decoro Rojas
• Dedicated Missouri Holding, LLC
• Dedicated Physicians Group of Kansas LLC (Dedicated Senior Medical Center)
• Dedicated Physicians Group of Michigan, PLLC (Dedicated Senior Medical Center)
• Dedicated Physicians Group of North Carolina PLLC (Dedicated Senior Medical Center)
• Dedicated Physicians Group of Pennsylvania, PLLC

• Internal Medicine Physician in Miami Gardens, FL
• Providers in Miami Gardens, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2023; 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.