{"npi":"1770204141","type":"NPI-2","status":"active","name":{"display":"Altius Medical Center LLC","other":[],"organization_name":"ALTIUS MEDICAL CENTER LLC","authorised_official":"Alian Hernandez Lopez"},"specialty":{"primary_taxonomy":"207R00000X","primary_taxonomy_description":"Internal Medicine","slug":"internal-medicine","schema_org_specialty":"Internal","all":[{"code":"261QP2300X","description":"Primary Care Clinic","primary":false,"state":null,"license":null},{"code":"207R00000X","description":"Internal Medicine","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"14221 SW 120TH ST STE 129","city":"MIAMI","state":"FL","postal_code":"331867463","country_code":"US","phone":"7862929650","fax":"7864203240"},{"purpose":"MAILING","street_1":"14221 SW 120TH ST STE 129","city":"MIAMI","state":"FL","postal_code":"331867463","country_code":"US","phone":"7862929650","fax":"7864203240"}],"license":null,"identifiers":[{"type_code":"01","label":"Other","value":"ID","state":"FL","issuer":"55555"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20221026000919","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"FL","pac_id":"8426424854"}]},"enumeration_date":"2022-09-06","last_updated":"2024-08-29","_meta":{"source":"NPPES","snapshot_date":"2024-08-29","doc_url":"https://findmynpi.com/api"}}