Organization Active NPI

Amarillo Medical Center

Doing business as Amarillo Medical Center, Inc

  • General Practice Physician
  • Hialeah, FL
National Provider Identifier
1871160887
Registry record updated Jun 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
AMARILLO MEDICAL CENTER
Doing business as
Amarillo Medical Center
Amarillo Medical Center, Inc
Practice address
8200 W 33Rd Ave Ste 1
Hialeah, FL 33018-5801
Phone
(786) 261-9628
Fax
(305) 827-5547
NPI assigned
Jun 8, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2021

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

Authorized official

Name
Cindy Clara Manduley
Title
Owner
Phone
(786) 261-9628

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

8200 W 33Rd Ave Ste 1
Hialeah, FL 33018-5801

Mailing address

8200 W 33Rd Ave Ste 1
Hialeah, FL 33018-5801
Phone (786) 261-9628

Other names 2

  • AMARILLO MEDICAL CENTER Doing business as
  • AMARILLO MEDICAL CENTER, INC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Amarillo 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.

Locations

8200 W 33rd Ave
Ste 1
Hialeah, FL 33018
Phone (786) 261-9628

NPI Registry JSON

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

{
    "created_epoch": "1623110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623110400000",
    "number": "1871160887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 W 33RD AVE STE 1",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330185801",
            "telephone_number": "786-261-9628",
            "fax_number": "305-827-5547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 W 33RD AVE STE 1",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330185801",
            "telephone_number": "786-261-9628",
            "fax_number": "305-827-5547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMARILLO MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-08",
        "last_updated": "2021-06-08",
        "certification_date": "2020-11-12",
        "status": "A",
        "authorized_official_last_name": "MANDULEY",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "CLARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-261-9628"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AMARILLO MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "AMARILLO MEDICAL CENTER, INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2021; 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.