SOUTH MEDICAL CENTER GROUP CORP
NPI 1740814458
Clinic/Center in Miami, FL

Active since March 03, 2020
12485 SW 137TH AVE STE 204, MIAMI, FL 33186(305) 614-1266 Get Directions Write a Review

NPPES record last updated: May 20, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 20, 2025, Dec 20, 2021, Jun 8, 2020 and 1 more (4 updates tracked since 2020).

  • Organization
  • Clinic/Center

About SOUTH MEDICAL CENTER GROUP CORP

This page provides the complete NPI Profile along with additional information for South Medical Center Group Corp, a provider established in Miami, Florida operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1740814458 assigned on March 2020. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Josue Acosta (President)

NPI
1740814458 Verify this NPI
Provider Name
SOUTH MEDICAL CENTER GROUP CORP
Entity Type
Organization
Location Address
12485 SW 137TH AVE STE 204 MIAMI, FL 33186
Location Phone
(305) 614-1266
Mailing Address
12485 SW 137TH AVE STE 204 MIAMI, FL 33186
Mailing Phone
(305) 614-1266
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-03-2020
Last Update Date
05-20-2025
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1251B00000XAgencies

Case Management

 
2261QM0801XAmbulatory Health Care Facilities

Clinic/Center
Mental Health (Including Community Mental Health Center)

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JOSUE ACOSTA

Authorized Official Title
PRESIDENT
Authorized Official Phone
(954) 274-5566

Reviews for SOUTH MEDICAL CENTER GROUP CORP

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Clinic/Center (Physical Therapy)
12485 SW 137TH AVE STE 204
MIAMI, FL 33186

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1740814458, enumerated as an "organization" on March 03, 2020.

The provider is located at 12485 SW 137TH AVE STE 204 MIAMI, FL 33186 and the phone number is (305) 614-1266.

Clinic/Center with taxonomy code 261Q00000X.