Ga S Medical Center Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

HCC7106 Issued in FL

Legal business name

GA S MEDICAL CENTER INC

Practice address

5788 SW 8TH St
West Miami, FL 33144-5034

Phone

(305) 262-8909

Fax

(305) 262-8906

NPI assigned

Jul 30, 2006

Organization subpart

No

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

Authorized official

Name

Pedro Santiesteban

Title

VP

Phone

(305) 262-8909

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193875200000",
    "number": "1912912577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5788 SW 8TH ST",
            "city": "WEST MIAMI",
            "state": "FL",
            "postal_code": "331445034",
            "telephone_number": "305-262-8909",
            "fax_number": "305-262-8906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5788 SW 8TH ST",
            "city": "WEST MIAMI",
            "state": "FL",
            "postal_code": "331445034",
            "telephone_number": "305-262-8909",
            "fax_number": "305-262-8906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GA S MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2007-11-01",
        "status": "A",
        "authorized_official_last_name": "SANTIESTEBAN",
        "authorized_official_first_name": "PEDRO",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "305-262-8909"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "HCC7106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in West Miami, FL
• Providers in West Miami, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2007; 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.