Organization Active NPI

Gables Medical Center, Inc

  • Clinic/Center
  • Miami, FL
National Provider Identifier
1932457322
Registry record updated Aug 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
GABLES MEDICAL CENTER, INC
Practice address
759 NW 22 Ave
Suite 2
Miami, FL 33125
Phone
(305) 649-0492
Fax
(305) 649-0496
NPI assigned
Aug 16, 2012
Last updated
Aug 16, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2012

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

Authorized official

Name
Dr. Carlos M Millan, M.D.
Title
Medical Doctor
Phone
(305) 649-0492

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

759 NW 22 Ave
Suite 2
Miami, FL 33125

Mailing address

759 NW 22 Ave
Suite 2
Miami, FL 33125
Phone (305) 649-0492

Other identifiers 1

IdentifierTypeStateIssuer
PA 9100823OtherFLSTATE LICENSE

National Provider Directory

National Provider Directory

Locations

759 NW 22nd Ave
Ste 2
Miami, FL 33125
Phone (305) 649-0492

NPI Registry JSON

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

{
    "created_epoch": "1345075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345075200000",
    "number": "1932457322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "759 NW 22 AVE",
            "address_2": "SUITE 2",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33125",
            "telephone_number": "305-649-0492",
            "fax_number": "305-649-0496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "759 NW 22 AVE",
            "address_2": "SUITE 2",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33125",
            "telephone_number": "305-649-0492",
            "fax_number": "305-649-0496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GABLES MEDICAL CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-16",
        "last_updated": "2012-08-16",
        "status": "A",
        "authorized_official_last_name": "MILLAN",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "305-649-0492",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "PA 9100823",
            "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 Aug 16, 2012; 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.