Active NPI
Penate Medical Center Inc
- Geriatric Medicine (Family Medicine) Physician
- Hialeah, FL
National Provider Identifier
1972249183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Family Medicine) Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Family Medicine) Physician | 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | humanresources@penatemc.com | Direct |
National Provider Directory
National Provider DirectoryLocations
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.