Ocean Star Professional Medical Center Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

OCEAN STAR PROFESSIONAL MEDICAL CENTER INC

Practice address

2623 SW 147TH Ave
Miami, FL 33185-5622

Phone

(305) 553-5155

Fax

(305) 553-5156

NPI assigned

May 24, 2006

Organization subpart

No

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

Authorized official

Name

Carlos Eddy Carmenate

Title

President

Phone

(305) 553-5155

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992750327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2623 SW 147TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331855622",
            "telephone_number": "305-553-5155",
            "fax_number": "305-553-5156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2623 SW 147TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331855622",
            "telephone_number": "305-553-5155",
            "fax_number": "305-553-5156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEAN STAR PROFESSIONAL MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CARMENATE",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "EDDY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-553-5155"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA LICENSE",
            "identifier": "HCC5841",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Ocean Reef Medical Center Corp.
• Ocean Total Health LLC
• Ocean View Homes LLC
• Nolmar Ocean, APRN, PMHNP-BC
• Oceandents Inc.
• Oceane7 Clinical Research

• 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 22, 2020; 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.