Organization Active NPI

DM Diagnostic Medical Center Inc

  • General Practice Physician
  • Hialeah, FL
National Provider Identifier
1972840551
Registry record updated Jan 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
DM DIAGNOSTIC MEDICAL CENTER INC
Practice address
11117 W Okeechobee Rd
Ste 11114
Hialeah, FL 33018-4212
Phone
(786) 335-6208
Fax
(786) 335-6225
NPI assigned
Jan 15, 2013
Organization subpart
Yes
Parent organization
DM DIAGNOSTIC MEDICAL CENTER INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 15, 2013

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

Authorized official

Name
Dulce Gonzalez
Title
President
Phone
(786) 335-6208

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

11117 W Okeechobee Rd
Ste 11114
Hialeah, FL 33018-4212

Mailing address

11117 W Okeechobee Rd
Ste 11114
Hialeah, FL 33018-4212
Phone (786) 335-6208

National Provider Directory

National Provider Directory
Part of
DM Diagnostic Medical Center Inc

Locations

11117 W Okeechobee Rd
Ste 11114
Hialeah, FL 33018
Phone (786) 335-6208

NPI Registry JSON

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

{
    "created_epoch": "1358208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358208000000",
    "number": "1972840551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11117 W OKEECHOBEE RD",
            "address_2": "STE 11114",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330184212",
            "telephone_number": "786-335-6208",
            "fax_number": "786-335-6225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11117 W OKEECHOBEE RD",
            "address_2": "STE 11114",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330184212",
            "telephone_number": "786-335-6208",
            "fax_number": "786-335-6225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DM DIAGNOSTIC MEDICAL CENTER INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DM DIAGNOSTIC MEDICAL CENTER INC",
        "enumeration_date": "2013-01-15",
        "last_updated": "2013-01-15",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "DULCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-335-6208"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Jan 15, 2013; 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.