NPIMap

Organization Active NPI

Bravo MD Medical Center , Inc

  • Clinic/Center
  • Miami, FL
National Provider Identifier
1902204779
Registry record updated Dec 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
ME110036 Issued in FL
Legal business name
BRAVO MD MEDICAL CENTER , INC
Practice address
85 Grand Canal Dr Ste 101
Miami, FL 33144-2561
Phone
(786) 409-3957
NPI assigned
Dec 10, 2014
Last updated
Dec 10, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2014

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

Authorized official

Name
Wilfredo Eddy Bravo, MD
Title
President
Phone
(786) 409-3957

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X ME110036 FL Primary

Addresses

Primary practice location

85 Grand Canal Dr Ste 101
Miami, FL 33144-2561

Mailing address

85 Grand Canal Dr Ste 101
Miami, FL 33144-2561
Phone (786) 409-3957

National Provider Directory

National Provider Directory
Tax ID family
Bravo MD Medical Center Inc2 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.

NPI Registry JSON

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

{
    "created_epoch": "1418169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418169600000",
    "number": "1902204779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 GRAND CANAL DR STE 101",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331442561",
            "telephone_number": "786-409-3957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 GRAND CANAL DR STE 101",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331442561",
            "telephone_number": "786-409-3957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAVO MD MEDICAL CENTER , INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-10",
        "last_updated": "2014-12-10",
        "status": "A",
        "authorized_official_last_name": "BRAVO",
        "authorized_official_first_name": "WILFREDO",
        "authorized_official_middle_name": "EDDY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-409-3957",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "ME110036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.