# MASTERMED MEDICAL CENTER LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225608185
- **Authorized official:** JOSE NAHUAT (OWNER)
- **Authorized official phone:** (786) 231-8519

## Contact information

- **Practice address:** 14273 SW 42ND ST, MIAMI, FL 33175-6408
- **Practice address phone:** (786) 655-0169
- **Mailing address:** 14273 SW 42ND ST, MIAMI, FL 33175-6408
- **Mailing address phone:** (786) 655-0169

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | — |
| 111N00000X | Chiropractor | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | NULL | Yes |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/01/2021
- **Last updated:** 05/19/2023