Century Medical Center of South Dade LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CENTURY MEDICAL CENTER OF SOUTH DADE LLC

Practice address

1645 SW 107TH Ave
Miami, FL 33165-7344

Phone

(305) 642-1040

NPI assigned

Jun 7, 2021

Last updated

Aug 8, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Caridad Mireya Gallardo PimentelNPI 1477139244

Title

Officer

Phone

(786) 461-1020

Specialties & licenses 2

Addresses

Other names 1

• Westchester Medical Center Other name

Tax ID family

Century Medical Center of South Dade LLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

• Century Medical Center of South Dade ,L.L.C

  • Non-Pharmacy Dispensing Site
  • Miramar, FL
  • NPI 1134708928
  NPD tax ID
• Century Medical Center of South Dade ,L.L.C

  • Family Medicine Physician
  • Miami, FL
  • NPI 1407439532
  NPD tax ID
• Century Medical Center of South Dade ,L.L.C

  • Family Medicine Physician
  • Hollywood, FL
  • NPI 1760061550
  NPD tax ID
• Century Medical Center of South Dade ,L.L.C

  • Family Medicine Physician
  • Homestead, FL
  • NPI 1801475694
  NPD tax ID
• Century Medical Center of South Dade LLC

  • Non-Pharmacy Dispensing Site
  • Homestead, FL
  • NPI 1588231492
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Caridad Mireya Gallardo Pimentel, APRN

  • Family Nurse Practitioner
  • Doral, FL
  • NPI 1477139244
  NPD (past) Authorized official

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

{
    "created_epoch": "1623024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659916800000",
    "number": "1982271078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1645 SW 107TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331657344",
            "telephone_number": "305-642-1040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1645 SW 107TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331657344",
            "telephone_number": "305-642-1040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTURY MEDICAL CENTER OF SOUTH DADE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-07",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A",
        "authorized_official_last_name": "GALLARDO PIMENTEL",
        "authorized_official_first_name": "CARIDAD",
        "authorized_official_middle_name": "MIREYA",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "786-461-1020"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Westchester Medical Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Century Health Inc (Lab at Home)
• Century Home Alf, Inc
• Century Life Inc
• Century Medical Center of South Dade ,L.L.C
• Century Medical Center of South Dade ,L.L.C
• Century Medical Centers LLC
• Century Medical Group PA
• Century Pain Solution Inc
• Century Research & Aesthetics, LLC
• Century Supply Sales Inc

• Family Medicine Physician in Miami, FL
• Providers in Miami, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.

Verify at the official NPI Registry.