Sedam Medical Center Inc

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

ME28850 Issued in FL

Legal business name

SEDAM MEDICAL CENTER INC

Practice address

5190 NW 167TH St
308
Miami Lakes, FL 33014-6328

Phone

(305) 974-5683

Fax

(305) 646-1361

NPI assigned

Oct 7, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Nelson Manuel Ramirez-Gonzalez, M.D.

Title

Medical Director

Phone

(305) 974-5683

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1412640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414022400000",
    "number": "1982007829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5190 NW 167TH ST",
            "address_2": "308",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330146328",
            "telephone_number": "305-974-5683",
            "fax_number": "305-646-1361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5190 NW 167TH ST",
            "address_2": "308",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330146328",
            "telephone_number": "305-974-5683",
            "fax_number": "305-646-1361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEDAM MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-07",
        "last_updated": "2014-10-23",
        "status": "A",
        "authorized_official_last_name": "RAMIREZ-GONZALEZ",
        "authorized_official_first_name": "NELSON",
        "authorized_official_middle_name": "MANUEL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "305-974-5683",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "FL",
            "license": "ME28850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Service Clinic/Center in Miami Lakes, FL
• Providers in Miami Lakes, FL by specialty
• Health Service Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2014; 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.