Organization Active NPI

Express Care Med Clinic

  • Clinic/Center
  • Hialeah, FL
National Provider Identifier
1013668763
Registry record updated Jan 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
EXPRESS CARE MED CLINIC
Practice address
2380 Palm Ave
Hialeah, FL 33010-2218
Phone
(305) 975-3075
NPI assigned
Jan 14, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2022

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

Authorized official

Name
Jianni Acosta
Title
President
Phone
(305) 975-3075

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

2380 Palm Ave
Hialeah, FL 33010-2218

Mailing address

2423 SW 147TH Ave # 387
Miami, FL 33185-4082
Phone (305) 975-3075

National Provider Directory

National Provider Directory

Locations

2380 Palm Ave
Hialeah, FL 33010
Phone (305) 975-3075

NPI Registry JSON

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

{
    "created_epoch": "1642118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642118400000",
    "number": "1013668763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2423 SW 147TH AVE # 387",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331854082",
            "telephone_number": "305-975-3075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2380 PALM AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330102218",
            "telephone_number": "305-975-3075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPRESS CARE MED CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-14",
        "last_updated": "2022-01-14",
        "certification_date": "2022-01-14",
        "status": "A",
        "authorized_official_last_name": "ACOSTA",
        "authorized_official_first_name": "JIANNI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-975-3075"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2022; 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.