NPIMap

Organization Active NPI

Erick Unlimited II, LLC

Doing business as Univida Medical Center

  • Adult Medicine Physician
  • Hialeah, FL
National Provider Identifier
1063143287
Registry record updated Jun 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
Legal business name
ERICK UNLIMITED II, LLC
Doing business as
Univida Medical Center
Practice address
875 E 41St St
Hialeah, FL 33013-2453
Phone
(786) 477-2391
NPI assigned
Jun 20, 2022
Last updated
Jun 20, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2022

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

Authorized official

Name
Mr. Erick Castro
Title
Pres, Owner
Phone
(786) 477-2391

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QA0505X Primary

Addresses

Primary practice location

875 E 41St St
Hialeah, FL 33013-2453

Mailing address

875 E 41St St
Hialeah, FL 33013-2453
Phone (786) 477-2391

Other names 1

  • Univida Medical Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220929000253 FL Part B Supplier - Clinic/Group Practice 3971989922 Receives reassigned benefits from 6 practitioners
Practice locations: Hialeah, 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
10D2264775Erick Unlimited II, LLC875 E 41St Street, Hialeah, FL 33013Certificate of waiverJul 18, 2028

National Provider Directory

National Provider Directory
Tax ID family
Erick Unlimited II LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

875 E 41st St
Hialeah, FL 33013
Phone (786) 447-2391

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 6

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": "1655683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655683200000",
    "number": "1063143287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 E 41ST ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330132453",
            "telephone_number": "786-477-2391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 E 41ST ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330132453",
            "telephone_number": "786-477-2391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERICK UNLIMITED II, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-20",
        "last_updated": "2022-06-20",
        "certification_date": "2022-06-20",
        "status": "A",
        "authorized_official_last_name": "CASTRO",
        "authorized_official_first_name": "ERICK",
        "authorized_official_title_or_position": "PRES, OWNER",
        "authorized_official_telephone_number": "786-477-2391",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Univida Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2022; 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.