Organization Active NPI

Maria Mederos Aprn PA

  • Health Service Clinic/Center
  • Hialeah, FL
National Provider Identifier
1912638545
Registry record updated Jul 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
MARIA MEDEROS APRN PA
Practice address
2097 W 76TH St
Hialeah, FL 33016-1834
Phone
(786) 925-0580
NPI assigned
Jun 23, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2022

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

Authorized official

Name
Mrs. Maria Angeles Mederos, APRN
Title
Ceo
Phone
(305) 333-2975

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

2097 W 76TH St
Hialeah, FL 33016-1834

Mailing address

6600 Main St Apt 1414
Miami Lakes, FL 33014-2291
Phone (305) 333-2975

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1655942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657756800000",
    "number": "1912638545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 MAIN ST APT 1414",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142291",
            "telephone_number": "305-333-2975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2097 W 76TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330161834",
            "telephone_number": "786-925-0580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIA MEDEROS APRN PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-23",
        "last_updated": "2022-07-14",
        "certification_date": "2022-07-13",
        "status": "A",
        "authorized_official_last_name": "MEDEROS",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "ANGELES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "305-333-2975",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 14, 2022; 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.