Organization Active NPI

Prime Care Health Partners LLC

  • Internal Medicine Physician
  • Miami, FL
National Provider Identifier
1063120657
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PRIME CARE HEALTH PARTNERS LLC
Practice address
14024 SW 8TH St
Miami, FL 33184-3001
Phone
(786) 536-5256
NPI assigned
Nov 11, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2025

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

Authorized official

Name
Gladys Gallegos
Title
Coo
Phone
(305) 972-3590

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

14024 SW 8TH St
Miami, FL 33184-3001

Mailing address

4960 SW 72ND Ave Ste 206
Miami, FL 33155-5549
Phone (305) 972-3590

Other practice location 1

900 W 49th St Ste 448
Hialeah, FL 33012-3487
Phone (305) 560-5446

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230329003484 FL Part B Supplier - Clinic/Group Practice 0840664090 Receives reassigned benefits from 2 practitioners
Practice locations: Coral Gables, FL; Hialeah, FL; Miami, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1668124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759276800000",
    "number": "1063120657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4960 SW 72ND AVE STE 206",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331555549",
            "telephone_number": "305-972-3590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14024 SW 8TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331843001",
            "telephone_number": "786-536-5256"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 W 49th St Ste 448",
            "address_purpose": "LOCATION",
            "city": "Hialeah",
            "state": "FL",
            "postal_code": "330123487",
            "country_code": "US",
            "telephone_number": "305-560-5446",
            "fax_number": "786-353-9801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PRIME CARE HEALTH PARTNERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-11",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A",
        "authorized_official_last_name": "GALLEGOS",
        "authorized_official_first_name": "GLADYS",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "305-972-3590"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal 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 Oct 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.