Atlantic Medical Center Doral Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

ATLANTIC MEDICAL CENTER DORAL INC

Practice address

10900 NW 25TH St Ste 104
Doral, FL 33172-1922

Phone

(786) 804-9521

Fax

(305) 716-9254

NPI assigned

Dec 3, 2019

Last updated

Dec 3, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ana M Diaz

Title

President Owner

Phone

(786) 804-9521

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Ana Maria Diaz Rodriguez, LMT

  • Physical Therapist
  • Doral, FL
  • NPI 1265033666
  NPD

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

{
    "created_epoch": "1575331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575331200000",
    "number": "1942847496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10900 NW 25TH ST STE 104",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331721922",
            "telephone_number": "786-804-9521",
            "fax_number": "305-716-9254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10900 NW 25TH ST STE 104",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331721922",
            "telephone_number": "786-804-9521",
            "fax_number": "305-716-9254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC MEDICAL CENTER DORAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-03",
        "last_updated": "2019-12-03",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "ANA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "786-804-9521"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Doral, FL
• Providers in Doral, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2019; 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.