Organization Active NPI

Hammock Medical Center Inc

  • Ph.D. Medical Genetics
  • Miami, FL
National Provider Identifier
1932139755
Registry record updated Mar 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ph.D. Medical GeneticsTaxonomy code 170100000X
Legal business name
HAMMOCK MEDICAL CENTER INC
Practice address
15122 Sunset Dr
Miami, FL 33193-3228
Phone
(305) 383-3848
Fax
(305) 383-7601
NPI assigned
Jul 4, 2006
Last updated
Mar 17, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2008

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

Authorized official

Name
Magali M Isern Perez
Title
President
Phone
(305) 383-3848

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ph.D. Medical GeneticsGroup: 193200000X MULTI-SPECIALTY GROUP 170100000X FL Primary

Addresses

Primary practice location

15122 Sunset Dr
Miami, FL 33193-3228

Mailing address

15122 Sunset Dr
Miami, FL 33193-3228
Phone (305) 383-3848

Other identifiers 1

IdentifierTypeStateIssuer
373907400MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050125000257 FL Part B Supplier - Clinic/Group Practice 4082664354 Receives reassigned benefits from 3 practitioners
Practice locations: Miami, FL

National Provider Directory

National Provider Directory

Locations

15122 Sunset Dr
Miami, FL 33193
Phone (305) 383-3848

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205712000000",
    "number": "1932139755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15122 SUNSET DR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331933228",
            "telephone_number": "305-383-3848",
            "fax_number": "305-383-7601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15122 SUNSET DR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331933228",
            "telephone_number": "305-383-3848",
            "fax_number": "305-383-7601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMMOCK MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2008-03-17",
        "status": "A",
        "authorized_official_last_name": "ISERN PEREZ",
        "authorized_official_first_name": "MAGALI",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-383-3848"
    },
    "taxonomies": [
        {
            "code": "170100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Medical Genetics, Ph.D. Medical Genetics",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "373907400",
            "state": "FL"
        }
    ],
    "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 Mar 17, 2008; 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.