Supreme Medical Center

Primary specialty

Ph.D. Medical GeneticsTaxonomy code 170100000X

Legal business name

SUPREME MEDICAL CENTER

Practice address

9370 SW 72ND St Ste A103
Miami, FL 33173-5470

Phone

(305) 979-4969

NPI assigned

Mar 12, 2013

Organization subpart

No

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

Authorized official

Name

Yoalkis Martinez

Title

President

Phone

(305) 979-4969

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1363046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363046400000",
    "number": "1861733115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9370 SW 72ND ST STE A103",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331735470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9370 SW 72ND ST STE A103",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331735470",
            "telephone_number": "305-979-4969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPREME MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-12",
        "last_updated": "2013-03-12",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "YOALKIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-979-4969"
    },
    "taxonomies": [
        {
            "code": "170100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Medical Genetics, Ph.D. Medical Genetics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Supreme Alf
• Supreme Care Equipment, Inc
• Supreme Care Equipment, Inc.
• Supreme Care Miami Corp
• Supreme Leadership LLC
• Supreme Medical Service Inc
• Supreme Recovery Inc
• Supreme Service Medical Equipment Inc
• Supreme Social Services Inc
• Nicole Beaton Sur, M.D.

• Ph.D. Medical Genetics in Miami, FL
• Providers in Miami, FL by specialty
• Ph.D. Medical Genetics in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2013; 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.