Primary Care Medical Center Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

ME66843 Issued in FL

Legal business name

PRIMARY CARE MEDICAL CENTER INC

Practice address

311 NE 8TH St
Suite 109
Homestead, FL 33030-4738

Phone

(305) 245-9222

Fax

(305) 428-2602

NPI assigned

May 21, 2015

Organization subpart

No

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

Authorized official

Name

Ms. Raquel Maria Arrazola

Title

Office Manager

Phone

(305) 245-9222

Specialties & licenses 1

Addresses

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HFBABA

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

{
    "created_epoch": "1432166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442793600000",
    "number": "1023497286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 NE 8TH ST",
            "address_2": "SUITE 109",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330304738",
            "telephone_number": "305-245-9222",
            "fax_number": "305-428-2602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 NE 8TH ST",
            "address_2": "SUITE 109",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330304738",
            "telephone_number": "305-245-9222",
            "fax_number": "305-428-2602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CARE MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-21",
        "last_updated": "2015-09-21",
        "status": "A",
        "authorized_official_last_name": "ARRAZOLA",
        "authorized_official_first_name": "RAQUEL",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "305-245-9222",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME66843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Homestead, FL
• Providers in Homestead, 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 Sep 21, 2015; 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.