Organization Active NPI

K.C. Accid Medical Corp.

  • Multi-Specialty Clinic/Center
  • Miami, FL
National Provider Identifier
1063465102
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
License
HCC6035 Issued in FL
Legal business name
K.C. ACCID MEDICAL CORP.
Practice address
5590 W 20TH Ave
Miami, FL 33016-7070
Phone
(305) 820-5420
Fax
(305) 820-5421
NPI assigned
May 18, 2006
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
Mr. Cristian Valdes
Title
President
Phone
(305) 820-5420

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X HCC6035 FL Primary

Addresses

Primary practice location

5590 W 20TH Ave
Miami, FL 33016-7070

Mailing address

5590 W 20TH Ave
Miami, FL 33016-7061
Phone (305) 820-5420

National Provider Directory

National Provider Directory
Tax ID family
KC Accid Medical Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

5590 W 20th Ave
Miami Lakes, FL 33016
Phone (305) 820-3248

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063465102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5590 W 20TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "330167061",
            "telephone_number": "305-820-5420",
            "fax_number": "305-820-5421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5590 W 20TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "330167070",
            "telephone_number": "305-820-5420",
            "fax_number": "305-820-5421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K.C. ACCID MEDICAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VALDES",
        "authorized_official_first_name": "CRISTIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-820-5420",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "FL",
            "license": "HCC6035",
            "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 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.