Organization Active NPI

Multicare Community Services, Inc

  • Health Service Clinic/Center
  • Doral, FL
National Provider Identifier
1053912832
Registry record updated Aug 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
MULTICARE COMMUNITY SERVICES, INC
Practice address
4055 NW 97TH Avenue.
Suite 105
Doral, FL 33178
Phone
(786) 618-5368
Fax
(786) 725-4312
NPI assigned
Nov 6, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2023

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

Authorized official

Name
Amanda Maria CruzNPI 1457134074
Title
Pharmacist
Phone
(786) 618-5368

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary
Infusion Therapy Clinic/Center 261QI0500X
Pharmacy 333600000X

Addresses

Primary practice location

4055 NW 97TH Avenue.
Suite 105
Doral, FL 33178

Mailing address

2423 SW 147TH Avenue
#369
Miami, FL 33185
Phone (786) 618-5368

Other practice location 1

660 S Federal Hwy Ste 100
Pompano Beach, FL 33062-5944
Phone (305) 322-0260

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240124003034 FL Part B Supplier - Clinic/Group Practice 8325491574 Receives reassigned benefits from 3 practitioners
Practice locations: Doral, 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
10D2222254Multicare Community Services Inc4055 NW 97TH Avenue, Suite 100-B, Doral, FL 33178Certificate of waiverApr 27, 2027

National Provider Directory

National Provider Directory

Locations

4055 NW 97th Ave
Ste 105
Doral, FL 33178
Phone (305) 205-5017

8181 NW 36th St
Ste 2324
Doral, FL 33166
Phone (305) 793-6415

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1604620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693353600000",
    "number": "1053912832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2423 SW 147TH AVENUE",
            "address_2": "#369",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33185",
            "telephone_number": "786-618-5368",
            "fax_number": "786-725-4312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4055 NW 97TH AVENUE.",
            "address_2": "SUITE 105",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "33178",
            "telephone_number": "786-618-5368",
            "fax_number": "786-725-4312"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "660 S Federal Hwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Pompano Beach",
            "state": "FL",
            "postal_code": "330625944",
            "country_code": "US",
            "telephone_number": "305-322-0260",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MULTICARE COMMUNITY SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-06",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-24",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "786-618-5368"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2023; 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.