Organization Active NPI

Penate Medical Center Inc

  • Geriatric Medicine (Family Medicine) Physician
  • Hialeah, FL
National Provider Identifier
1972249183
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
Legal business name
PENATE MEDICAL CENTER INC
Practice address
6850 W 12TH Ave
Hialeah, FL 33014-5114
Phone
(786) 272-9170
Fax
(786) 245-0751
NPI assigned
May 10, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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

Authorized official

Name
Mrs. Clara Penate
Title
Owner
Phone
(305) 772-8224

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QG0300X Primary

Addresses

Primary practice location

6850 W 12TH Ave
Hialeah, FL 33014-5114

Mailing address

8200 SW 117TH Ave Ste 112
Miami, FL 33183-4825
Phone (786) 272-9170

Other practice location 1

923 NW 27th Ave
Miami, FL 33125-3016
Phone (786) 272-9170 ext. 1004

Other practice location 2

995 N Miami Beach Blvd
North Miami Beach, FL 33162-3721
Phone (786) 272-9170 ext. 1004

Other practice location 3

4855 NW 183rd St
Miami Gardens, FL 33055-2955
Phone (786) 272-9170 ext. 1004

Other practice location 4

14788 SW 56th St
Miami, FL 33185-4070
Phone (786) 272-9170 ext. 1004

Other practice location 5

18900 SW 106th Ave
Cutler Bay, FL 33157-7697
Phone (786) 272-9170 ext. 1004

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address humanresources@penatemc.com Direct

National Provider Directory

National Provider Directory

Locations

4855 NW 183rd St
Miami Gardens, FL 33055
Phone 7862729170 ext. 1004

NPI Registry JSON

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

{
    "created_epoch": "1652140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714435200000",
    "number": "1972249183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 SW 117TH AVE STE 112",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331834825",
            "telephone_number": "786-272-9170",
            "fax_number": "786-245-0751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6850 W 12TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330145114",
            "telephone_number": "786-272-9170",
            "fax_number": "786-245-0751"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "923 NW 27th Ave",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331253016",
            "country_code": "US",
            "telephone_number": "786-272-9170 x1004",
            "fax_number": "786-245-0751",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "995 N Miami Beach Blvd",
            "address_purpose": "LOCATION",
            "city": "North Miami Beach",
            "state": "FL",
            "postal_code": "331623721",
            "country_code": "US",
            "telephone_number": "786-272-9170 x1004",
            "fax_number": "786-245-0751",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4855 NW 183rd St",
            "address_purpose": "LOCATION",
            "city": "Miami Gardens",
            "state": "FL",
            "postal_code": "330552955",
            "country_code": "US",
            "telephone_number": "786-272-9170 x1004",
            "fax_number": "786-245-0751",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14788 SW 56th St",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331854070",
            "country_code": "US",
            "telephone_number": "786-272-9170 x1004",
            "fax_number": "786-245-0751",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18900 SW 106th Ave",
            "address_purpose": "LOCATION",
            "city": "Cutler Bay",
            "state": "FL",
            "postal_code": "331577697",
            "country_code": "US",
            "telephone_number": "786-272-9170 x1004",
            "fax_number": "786-245-0751",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PENATE MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-10",
        "last_updated": "2024-04-30",
        "certification_date": "2022-05-10",
        "status": "A",
        "authorized_official_last_name": "PENATE",
        "authorized_official_first_name": "CLARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-772-8224",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "humanresources@penatemc.com",
            "affiliation": "N",
            "endpointDescription": "humanresources@penatemc.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6850 W 12th Ave",
            "city": "Hialeah",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330145114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; 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.