Versailles Medical Center, Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

090479-8 Issued in FL

Legal business name

VERSAILLES MEDICAL CENTER, INC

Practice address

5438 SW 8TH St
Coral Gables, FL 33134-2267

Phone

(305) 444-8676

Fax

(305) 444-5181

NPI assigned

Feb 9, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Marina I DelamoNPI 1013067990

Title

Treasurer

Phone

(305) 444-8676

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

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

• Shari Jean Neufeld, O.D.

  • Optometrist
  • Miami, FL
  • NPI 1386752129
  Medicare reassignment NPD
• Marina Isabel Del Amo, DO

  • Optician
  • Coral Gables, FL
  • NPI 1013067990
  NPD Authorized official

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366070400000",
    "number": "1922149178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5438 SW 8TH ST",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331342267",
            "telephone_number": "305-444-8676",
            "fax_number": "305-444-5181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5438 SW 8TH ST",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331342267",
            "telephone_number": "305-444-8676",
            "fax_number": "305-444-5181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERSAILLES MEDICAL CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2013-04-16",
        "status": "A",
        "authorized_official_last_name": "DELAMO",
        "authorized_official_first_name": "MARINA",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "305-444-8676",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "090479-8",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "039595100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alina Sofia Verdeja
• George L Vergara, M.D.
• Valentina Vernet, RMFTI
• Andrea Marie Verona, BEHAVIOR TECHNICIAN
• Veronica Cabrera, Otrl, P.a.
• Versailles Optical Inc.
• Denisse Viamonte, MD
• Camila Vicario
• Ana Viciana, MD
• Grace Victoria, M.S., CCC-SLP

• Optometrist in Coral Gables, FL
• Providers in Coral Gables, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2013; 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.