Palmetto Medical Center

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

HCC6911 Issued in FL

Legal business name

PALMETTO MEDICAL CENTER

Practice address

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

Phone

(305) 874-2258

Fax

(305) 874-2259

NPI assigned

Aug 22, 2006

Organization subpart

No

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

Addresses

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.

• Palmetto Medical Center Inc

  • Family Medicine Physician
  • Virginia Gardens, FL
  • NPI 1831142363
  NPD tax ID

Locations

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851407522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6501 NW 36TH ST",
            "address_2": "#414",
            "city": "VIRGINIA GARDENS",
            "state": "FL",
            "postal_code": "331666959",
            "telephone_number": "305-874-2258",
            "fax_number": "305-874-2259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6501 NW 36TH ST",
            "address_2": "#414",
            "city": "VIRGINIA GARDENS",
            "state": "FL",
            "postal_code": "331666959",
            "telephone_number": "305-874-2258",
            "fax_number": "305-874-2259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "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": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "HCC6911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Optima Medical Supplies, Corp.
• Jose Angel Ortiz Maza, BMO
• Outstanding Home Health Care, Inc.
• Jaclyn Michelle Pacetti, PTA
• Pain Therapy Center, Inc
• Palmetto Medical Center Inc
• Paneluz Services Center Inc
• Walkiria Paradela
• Julieta Parodi, MHC
• Passport Health Holdings LLC

• General Practice Physician in Virginia Gardens, FL
• Providers in Virginia Gardens, FL by specialty
• General Practice Physician in Florida

• 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.