Jireh Medical Center Corp

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

JIREH MEDICAL CENTER CORP

Practice address

7900 NW 33Rd St Ste 101
Hollywood, FL 33024-2209

Phone

(954) 962-5300

Fax

(954) 962-0100

NPI assigned

Jan 21, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Marta Rosa Fernandez, MDNPI 1780666750

Title

MD

Phone

(954) 962-5300

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Networks

• HealthSun Health Plans Network

Practitioners 2

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

• Marta Rosa Fernandez, M.D.

  • General Practice Physician
  • Hollywood, FL
  • NPI 1780666750
  Medicare reassignment NPD Authorized official
• Rafael N Hernandez, PA

  • Physician Assistant
  • Miami, FL
  • NPI 1720171317
  Medicare reassignment

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

{
    "created_epoch": "1453334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560297600000",
    "number": "1932566965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7900 NW 33RD ST STE 101",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330242209",
            "telephone_number": "954-962-5300",
            "fax_number": "954-962-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7900 NW 33RD ST STE 101",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330242209",
            "telephone_number": "954-962-5300",
            "fax_number": "954-962-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIREH MEDICAL CENTER CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-21",
        "last_updated": "2019-06-12",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "MARTA",
        "authorized_official_middle_name": "ROSA",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "954-962-5300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karla Noemi Jimenez
• Kirenia Jimenez
• Maria Jimenez
• Marise Jimenez, MS, RMHCI
• Samantha Jimenez
• Jireh Provisions FL I
• Jm613 Holdings LLC
• JMJ Wellness Services LLC
• Jodee, Inc.
• Joel L Martin M D P a

• General Practice Physician in Hollywood, FL
• Providers in Hollywood, 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 Jun 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.