Organization Active NPI

Comprehensive Medical Care Center

  • Psychiatry Physician
  • North Miami Beach, FL
National Provider Identifier
1053361527
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME 78304 Issued in FL
Legal business name
COMPREHENSIVE MEDICAL CARE CENTER
Practice address
1380 NE Miami Gardens Dr Ste 242
North Miami Beach, FL 33179
Phone
(305) 949-6700
Fax
(305) 949-6773
NPI assigned
May 12, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Serge Vilvar, M.D.NPI 1568440972
Title
Director
Phone
(786) 252-2769

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
Psychiatry Physician 2084P0800X ME 78304 FL Primary

Addresses

Primary practice location

1380 NE Miami Gardens Dr Ste 242
North Miami Beach, FL 33179

Mailing address

P.O. Box 327360
Ft Lauderdale, FL 33332
Phone (305) 949-6700

National Provider Directory

National Provider Directory

Locations

1380 NE Miami Gardens Dr
Ste 242
North Miami Beach, FL 33179
Phone (305) 482-1646

Practitioners & affiliated clinicians

Practitioners 1

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": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053361527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 327360",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "33332",
            "telephone_number": "305-949-6700",
            "fax_number": "305-949-6773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 NE MIAMI GARDENS DR STE 242",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "33179",
            "telephone_number": "305-949-6700",
            "fax_number": "305-949-6773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE MEDICAL CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VILVAR",
        "authorized_official_first_name": "SERGE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "786-252-2769",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME 78304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.