Doral Clinic Inc

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

ME110036 Issued in FL

Legal business name

DORAL CLINIC INC

Practice address

9300 NW 25TH St
Suite 106
Doral, FL 33172-1508

Phone

(305) 694-9802

Fax

(305) 639-8271

NPI assigned

Jan 23, 2014

Last updated

Jan 23, 2014By 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

Wilfredo Bravo, MD

Title

President

Phone

(305) 694-9802

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1390435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390435200000",
    "number": "1891118105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9300 NW 25TH ST",
            "address_2": "SUITE 106",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331721508",
            "telephone_number": "305-694-9802",
            "fax_number": "305-639-8271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 NW 25TH ST",
            "address_2": "SUITE 106",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331721508",
            "telephone_number": "305-694-9802",
            "fax_number": "305-639-8271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DORAL CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-23",
        "last_updated": "2014-01-23",
        "status": "A",
        "authorized_official_last_name": "BRAVO",
        "authorized_official_first_name": "WILFREDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-694-9802",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "FL",
            "license": "ME110036",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME110036",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Doral Cardiology, Inc.,
• Doral Center for Neuropsych Research LLC
• Doral Center for Sleep Disorder LLC
• Doral Center for Sleep Disorder LLC
• Doral Center Rehab Inc
• Doral Community Clinic Inc
• Doral Dental
• Doral Dental Partners
• Doral Family Dental PL
• Doral Family Dentistry P.a.

• Health Service Clinic/Center in Doral, FL
• Providers in Doral, FL by specialty
• Health Service Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2014; 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.