Prestige Medical Services Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

HCC9068 Issued in FL

Legal business name

PRESTIGE MEDICAL SERVICES INC

Practice address

12905 SW 42ND St Ste 101
Miami, FL 33175-2910

Phone

(305) 553-5600

Fax

(305) 553-5602

NPI assigned

Mar 23, 2011

Organization subpart

No

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

Authorized official

Name

Humberto Hernandez

Title

President

Phone

(305) 553-5600

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1300838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345075200000",
    "number": "1013216597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12905 SW 42ND ST STE 101",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331752910",
            "telephone_number": "305-553-5600",
            "fax_number": "305-553-5602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12905 SW 42ND ST STE 101",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331752910",
            "telephone_number": "305-553-5600",
            "fax_number": "305-553-5602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE MEDICAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-23",
        "last_updated": "2012-08-16",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "HUMBERTO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-553-5600"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "HCC9068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER",
            "identifier": "FC741A",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Prestige Home Health Services, Corp
• Prestige Medical Care Inc
• Prestige Medical Center
• Prestige Medical Office Inc.
• Prestige Medical Rehab Center Inc
• Prestige Medical Solutions (Prestige Behavioral Group)
• Prestige Medical Spa Inc
• Prestige Medical Systems
• Prestige Medical Systems
• Prestige Nursing Care Inc

• General Practice Physician in Miami, FL
• Providers in Miami, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2012; 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.