Organization Active NPI

Loving Care Medical Center LLC

  • Family Medicine Physician
  • Miami, FL
National Provider Identifier
1013469774
Registry record updated Mar 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME114010 Issued in FL
Legal business name
LOVING CARE MEDICAL CENTER LLC
Practice address
17801 NW 2ND Ave
Suite 210
Miami, FL 33169-5029
Phone
(786) 201-7852
NPI assigned
Oct 28, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2017

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

Authorized official

Name
Marie Suzy St Cyr, MDNPI 1841501079
Title
Sole MBR
Phone
(786) 201-7852

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X ME114010 FL Primary

Addresses

Primary practice location

17801 NW 2ND Ave
Suite 210
Miami, FL 33169-5029

Mailing address

17801 NW 2ND Ave
Suite 210
Miami, FL 33169-5029
Phone (786) 201-7852

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170320000558 FL Part B Supplier - Clinic/Group Practice 7012292873 Receives reassigned benefits from 1 practitioner
Practice locations: Miami Gardens, FL

National Provider Directory

National Provider Directory

Locations

17801 NW 2nd Ave
Ste 210
Miami, FL 33169
Phone (786) 201-7852

290 NW 183rd St
North Miami Beach, FL 33169
Phone (786) 201-7852

Practitioners & affiliated clinicians

Practitioners 1

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": "1477612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489708800000",
    "number": "1013469774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17801 NW 2ND AVE",
            "address_2": "SUITE 210",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331695029",
            "telephone_number": "786-201-7852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17801 NW 2ND AVE",
            "address_2": "SUITE 210",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331695029",
            "telephone_number": "786-201-7852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOVING CARE MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-28",
        "last_updated": "2017-03-17",
        "status": "A",
        "authorized_official_last_name": "ST CYR",
        "authorized_official_first_name": "MARIE",
        "authorized_official_middle_name": "SUZY",
        "authorized_official_title_or_position": "SOLE MBR",
        "authorized_official_telephone_number": "786-201-7852",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME114010",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.