Active NPI
MKCR Health LLC
- Family Medicine Physician
- Miami, FL
National Provider Identifier
1053007054
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- MKCR HEALTH LLC
- Practice address
- 8000 SW 153Rd PL
Miami, FL 33193-1310 - Phone
- (786) 805-2418
- NPI assigned
- Apr 12, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ilia Garcia Fernandez
- Title
- Owner
- Phone
- (786) 805-2418
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
8000 SW 153Rd PL
Miami, FL 33193-1310
Mailing address
8000 SW 153Rd PL
Miami, FL 33193-1310
Phone (786) 805-2418
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681257600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1682294400000",
"number": "1053007054",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8000 SW 153RD PL",
"city": "MIAMI",
"state": "FL",
"postal_code": "331931310",
"telephone_number": "786-805-2418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8000 SW 153RD PL",
"city": "MIAMI",
"state": "FL",
"postal_code": "331931310",
"telephone_number": "786-805-2418"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MKCR HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-04-12",
"last_updated": "2023-04-24",
"certification_date": "2023-04-24",
"status": "A",
"authorized_official_last_name": "GARCIA FERNANDEZ",
"authorized_official_first_name": "ILIA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "786-805-2418"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"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 Apr 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.