Active NPI
Sr Comfort Medical Center Corp
- Family Medicine Physician
- Miami, FL
National Provider Identifier
1962159798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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 DirectoryNPI 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.