Organization Active NPI

Galenos Medical Center Corp.

  • Family Medicine Physician
  • Hialeah Gardens, FL
National Provider Identifier
1912572496
Registry record updated Jul 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
GALENOS MEDICAL CENTER CORP.
Practice address
8504 NW 103Rd Street
Hialeah Gardens, FL 33016
Phone
(786) 420-5111
Fax
(786) 438-1406
NPI assigned
May 26, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2022

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

Authorized official

Name
Maria Caridad Eloy Rodriguez, M.D.NPI 1114118866
Title
President
Phone
(786) 420-5111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

8504 NW 103Rd Street
Hialeah Gardens, FL 33016

Mailing address

8504 NW 103Rd Street
Hialeah Gardens, FL 33016
Phone (786) 420-5111

Other practice location 1

500 N Hiatus Rd Ste 105
Pembroke Pines, FL 33026-5213
Phone (954) 971-7130

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220211000194 FL Part B Supplier - Clinic/Group Practice 8325431521 Receives reassigned benefits from 3 practitioners
Practice locations: Hialeah Gardens, FL; Pembroke Pines, FL

National Provider Directory

National Provider Directory
Tax ID family
Galenos Medical Center Corp2 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

8504 NW 103rd St
Hialeah Gardens, FL 33016
Phone (786) 420-5111

Networks

  • HealthSun Health Plans Network

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1621987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657497600000",
    "number": "1912572496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8504 NW 103RD STREET",
            "city": "HIALEAH GARDENS",
            "state": "FL",
            "postal_code": "33016",
            "telephone_number": "786-420-5111",
            "fax_number": "786-438-1406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8504 NW 103RD STREET",
            "city": "HIALEAH GARDENS",
            "state": "FL",
            "postal_code": "33016",
            "telephone_number": "786-420-5111",
            "fax_number": "786-438-1406"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 N Hiatus Rd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Pembroke Pines",
            "state": "FL",
            "postal_code": "330265213",
            "country_code": "US",
            "telephone_number": "954-971-7130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GALENOS MEDICAL CENTER CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-26",
        "last_updated": "2022-07-11",
        "certification_date": "2022-07-11",
        "status": "A",
        "authorized_official_last_name": "ELOY RODRIGUEZ",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "CARIDAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-420-5111",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.