Organization Active NPI

San Francisco Medical Clinic Inc

  • Clinic/Center
  • Doral, FL
National Provider Identifier
1891130274
Registry record updated Apr 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
SAN FRANCISCO MEDICAL CLINIC INC
Practice address
3900 NW 79TH Ave Ste 631
Doral, FL 33166-6550
Phone
(786) 315-8283
NPI assigned
Apr 30, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2013

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

Authorized official

Name
Mr. Javier Sutil Flores
Title
Owner
Phone
(786) 315-8283

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

3900 NW 79TH Ave Ste 631
Doral, FL 33166-6550

Mailing address

3900 NW 79TH Ave Ste 631
Doral, FL 33166-6550

National Provider Directory

National Provider Directory

Locations

3900 NW 79th Ave
Ste 631
Doral, FL 33166
Phone (786) 375-0379

NPI Registry JSON

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

{
    "created_epoch": "1367280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367280000000",
    "number": "1891130274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 NW 79TH AVE STE 631",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 NW 79TH AVE STE 631",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666550",
            "telephone_number": "786-315-8283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN FRANCISCO MEDICAL CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-30",
        "last_updated": "2013-04-30",
        "status": "A",
        "authorized_official_last_name": "SUTIL FLORES",
        "authorized_official_first_name": "JAVIER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-315-8283",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.