1. Home
  2. Directory
  3. Florida
  4. Hollywood
  5. General Practice
  6. NPI Profile

JIREH MEDICAL CENTER CORP
NPI 1932566965
General Practice in Hollywood, FL

Active since January 21, 2016CLIA 10D2158272 · Waiver
7900 NW 33RD ST STE 101, HOLLYWOOD, FL 33024(954) 962-5300(954) 962-0100 Get Directions Write a Review

NPPES record last updated: June 12, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 12, 2019, Jan 21, 2016 (2 updates tracked since 2016).

About Jireh Medical Center Corp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JIREH MEDICAL CENTER CORP (NPI 1932566965) is a healthcare organization registered as a general practice in Hollywood, Florida and active in the NPI registry since January 2016. The organization holds a CLIA Waiver certificate valid through November 25, 2026 and lists Marta Rosa Fernandez, Md, as its authorized official.

NPPES Registry Identity

NPI1932566965
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameJIREH MEDICAL CENTER CORP
Location Address7900 NW 33RD ST STE 101Hollywood, FL 33024-2209
Mailing Address7900 Nw 33rd St Ste 101Hollywood, FL 33024-2209 · (954) 962-5300 · Fax (954) 962-0100
Phone(954) 962-5300
Fax(954) 962-0100
Organization SubpartNo
Authorized OfficialMarta Rosa FernandezMd · (954) 962-5300
Enumeration DateJanuary 21, 2016
Last NPPES UpdateJune 12, 20192 updates tracked since enumeration
✔ NPI 1932566965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
7900 NW 33RD ST STE 101, Hollywood, FL 33024
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2158272

Jireh Medical Center Corp · Hollywood, FL
Active · expires Nov 25, 2026
CLIA Number10D2158272
Laboratory TypeHealthcare Center
Certificate Effective DateNovember 26, 2024
Certificate Expiration DateNovember 25, 2026
Laboratory DirectorRossana F. Pontiles
Laboratory Phone(954) 962-5300
Laboratory LocationJireh Medical Center Corp7900 NW 33rd St Ste 101, Hollywood, FL 33024
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NICHOLAS D A SUITE MD NEUROLOGY LLC
Clinic/Center (Medical Specialty)
7900 NW 33RD ST STE 101
HOLLYWOOD, FL 33024
Broward County (954) 431-6884
LEIDY MARCELA HENAO ARNP, PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
7900 NW 33RD ST STE 101
HOLLYWOOD, FL 33024
Broward County (305) 988-9010
MARTA ROSA FERNANDEZ M.D.
General Practice
7900 NW 33RD ST STE 101
HOLLYWOOD, FL 33024
Broward County (954) 962-5300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jireh Medical Center Corp's NPI number?

The NPI number for Jireh Medical Center Corp is 1932566965. It was assigned to this organization in the NPPES registry on January 21, 2016.

Where is Jireh Medical Center Corp located?

Jireh Medical Center Corp is located at 7900 NW 33rd St Ste 101, Hollywood, FL 33024. The listed phone number is (954) 962-5300.

What is Jireh Medical Center Corp's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Does Jireh Medical Center Corp hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2158272) is associated with this NPI, valid through November 25, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Jireh Medical Center Corp accept?

Health plans from AmeriHealth Caritas Next list Jireh Medical Center Corp as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jireh Medical Center Corp was last updated on June 12, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.