Healthcare Provider Details

I. General information

NPI: 1073006490
Provider Name (Legal Business Name): NEXUS MEDICAL CENTER OF WEST MIAMI LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2018
Last Update Date: 07/30/2020
Certification Date: 07/30/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7357 W FLAGLER ST
MIAMI FL
33144
US

IV. Provider business mailing address

1914 NW 84TH AVE
DORAL FL
33126-1030
US

V. Phone/Fax

Practice location:
  • Phone: 305-223-0094
  • Fax: 305-393-8906
Mailing address:
  • Phone: 305-254-8900
  • Fax: 305-393-8906

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number StateFL

VIII. Authorized Official

Name: ROBERT MONTES
Title or Position: CEO & CHAIRMAN
Credential:
Phone: 305-254-8900