Palm Medical West, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

PALM MEDICAL WEST, LLC

Practice address

1840 West 49 Street
Suite: 100
Hialeah, FL 33012

Phone

(305) 913-7300

NPI assigned

Mar 21, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Santiago Moises

Title

Director of Centers Operations

Phone

(786) 362-4173

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1395360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395360000000",
    "number": "1992122576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 W 49TH ST",
            "address_2": "SUITE 100",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330122942",
            "telephone_number": "305-913-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 WEST 49 STREET",
            "address_2": "SUITE: 100",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "33012",
            "telephone_number": "305-913-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM MEDICAL WEST, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-21",
        "last_updated": "2014-03-21",
        "status": "A",
        "authorized_official_last_name": "MOISES",
        "authorized_official_first_name": "SANTIAGO",
        "authorized_official_title_or_position": "DIRECTOR OF CENTERS OPERATIONS",
        "authorized_official_telephone_number": "786-362-4173",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Palm Gardens Manors Inc (a new horizon manor)
• Palm Lake Medical Center Inc
• Palm Lakes Pharmacy, Inc.
• Palm Medical Center Hialeah, LLC
• Palm Medical Institute
• Palm Medical, LLC
• Palm Pharmacy
• Palm Pharmacy & Discount Store Inc (Sedanos Pharmacy #6)
• Palm Plaza Medical Center, LLC
• Palm Primary Care, LLC

• Clinic/Center in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.