Organization Active NPI

Cevares Medical Care, LLC

  • Primary Care Clinic/Center
  • Miami, FL
National Provider Identifier
1023606803
Registry record updated Jun 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
CEVARES MEDICAL CARE, LLC
Doing business as
Cevares Medical Care, LLC
Practice address
757 NW 27TH Ave Ste 201
Miami, FL 33125-3012
Phone
(786) 472-0230
Fax
(786) 408-6242
NPI assigned
Jan 6, 2021
Last updated
Jun 30, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2022

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

Authorized official

Name
Julio Cesar Cevares AlcantaraNPI 1558841585
Title
Ao
Phone
(786) 472-0230

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
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

757 NW 27TH Ave Ste 201
Miami, FL 33125-3012

Mailing address

757 NW 27TH Ave Ste 201
Miami, FL 33125-3012
Phone (786) 472-0230

Other identifiers 1

IdentifierTypeStateIssuer
114025400MedicaidFL

Other names 1

  • Cevares Medical Care, LLC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210128000269 FL Part B Supplier - Clinic/Group Practice 5597179804 Receives reassigned benefits from 2 practitioners
Practice locations: Miami, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2259165Cevares Medical Care, LLC757 NW 27TH Ave, Ste 201, Miami, FL 33125Certificate of waiverMay 2, 2028

National Provider Directory

National Provider Directory

Locations

757 NW 27th Ave
Ste 201
Miami, FL 33125
Phone (786) 472-0230

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26324/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1609891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656547200000",
    "number": "1023606803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "757 NW 27TH AVE STE 201",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331253012",
            "telephone_number": "786-472-0230",
            "fax_number": "786-408-6242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "757 NW 27TH AVE STE 201",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331253012",
            "telephone_number": "786-472-0230",
            "fax_number": "786-408-6242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEVARES MEDICAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-06",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A",
        "authorized_official_last_name": "CEVARES ALCANTARA",
        "authorized_official_first_name": "JULIO",
        "authorized_official_middle_name": "CESAR",
        "authorized_official_title_or_position": "AO",
        "authorized_official_telephone_number": "786-472-0230"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114025400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cevares Medical Care, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.