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CENTURY MEDICAL CENTER OF SOUTH DADE LLC NPI 1982271078


NPI Information

NPI: 1982271078
Provider Name: CENTURY MEDICAL CENTER OF SOUTH DADE LLC

Other Name: WESTCHESTER MEDICAL CENTER

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 10D2261137

Address:
1645 SW 107TH AVE
MIAMI, FL
ZIP 33165
Phone: (305) 642-1040
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CENTURY MEDICAL CENTER OF SOUTH DADE LLC is a family medicine in Miami, FL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. CENTURY MEDICAL CENTER OF SOUTH DADE LLC NPI is 1982271078. The provider is registered as an organization entity type.
The provider Other Name Is Westchester Medical Center.

The provider's business location address is:

1645 SW 107TH AVE
MIAMI, FL
ZIP 33165-344
Phone: (305) 642-1040

The provider's authorized official is Caridad Mireya Gallardo Pimentel .
The authorized official title is Officer and has the following contact phone number (786) 461-1020.

The CLIA number assigned to this NPI record is 10D2261137 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/7/2021 and was last updated on 8/8/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2300XClinic/CenterPrimary CareNo
2207Q00000XFamily MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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