Organization Active NPI

Sr Comfort Medical Center Corp

  • Family Medicine Physician
  • Miami, FL
National Provider Identifier
1962159798
Registry record updated Jul 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SR COMFORT MEDICAL CENTER CORP
Practice address
3611 SW 87TH Ave
Miami, FL 33165-4307
Phone
(305) 847-9997
Fax
(786) 814-5970
NPI assigned
Mar 2, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2022

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

Authorized official

Name
Rolando Ayala Ricardo
Title
President
Phone
(305) 847-9997

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

3611 SW 87TH Ave
Miami, FL 33165-4307

Mailing address

3611 SW 87TH Ave
Miami, FL 33165-4307
Phone (305) 847-9997

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1646179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658793600000",
    "number": "1962159798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3611 SW 87TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331654307",
            "telephone_number": "305-847-9997",
            "fax_number": "786-814-5970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3611 SW 87TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331654307",
            "telephone_number": "305-847-9997",
            "fax_number": "786-814-5970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SR COMFORT MEDICAL CENTER CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-02",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A",
        "authorized_official_last_name": "AYALA RICARDO",
        "authorized_official_first_name": "ROLANDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-847-9997"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 26, 2022; 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.