NPIMap

Organization Active NPI

WK Medical Center Corp

  • General Practice Physician
  • Miami, FL
National Provider Identifier
1003338138
Registry record updated Mar 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
WK MEDICAL CENTER CORP
Practice address
13304 SW 128TH St
Miami, FL 33186-5899
Phone
(054) 249-0603
Fax
(305) 363-4412
NPI assigned
Jul 11, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Edel Quintero
Title
President
Phone
(305) 424-9060

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208D00000X Primary
Clinic/Center 261Q00000X FL
Primary Care Clinic/Center 261QP2300X

Addresses

Primary practice location

13304 SW 128TH St
Miami, FL 33186-5899

Mailing address

13304 SW 128TH St
Miami, FL 33186-5899
Phone (786) 227-6498

Other identifiers 1

IdentifierTypeStateIssuer
HCC11075OtherFLAHCA

National Provider Directory

National Provider Directory

Locations

13501 SW 128th St
Ste 201
Miami, FL 33186
Phone (786) 250-3351

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1499731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710806400000",
    "number": "1003338138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13304 SW 128TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331865899",
            "telephone_number": "786-227-6498",
            "fax_number": "305-570-2604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13304 SW 128TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331865899",
            "telephone_number": "054-249-0603",
            "fax_number": "305-363-4412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WK MEDICAL CENTER CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-11",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A",
        "authorized_official_last_name": "QUINTERO",
        "authorized_official_first_name": "EDEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-424-9060"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA",
            "identifier": "HCC11075",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.