Organization Active NPI

MKCR Health LLC

  • Family Medicine Physician
  • Miami, FL
National Provider Identifier
1053007054
Registry record updated Apr 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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

Updated by the provider on Apr 24, 2023

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.