Organization Active NPI

Royal Care Medical Center Inc

  • General Practice Physician
  • Miami, FL
National Provider Identifier
1063750164
Registry record updated Jul 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
HCC10264 Issued in FL
Legal business name
ROYAL CARE MEDICAL CENTER INC
Practice address
9600 SW 8TH St
Suite 9-10
Miami, FL 33174-2900
Phone
(786) 953-6415
Fax
(786) 953-6515
NPI assigned
Jan 24, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2014

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

Authorized official

Name
Dr. Eduardo S Mendez, M.D.NPI 1912147521
Title
Owner/ President
Phone
(786) 953-6415

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
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X HCC10264 FL Primary

Addresses

Primary practice location

9600 SW 8TH St
Suite 9-10
Miami, FL 33174-2900

Mailing address

9600 SW 8TH St
Suite 9-10
Miami, FL 33174-2900
Phone (786) 953-6415

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20131021001839 FL Part B Supplier - Clinic/Group Practice 3779718143 Receives reassigned benefits from 2 practitioners
Practice locations: Miami, FL
O20180205001364 FL DME Supplier - Physician - General Practice 3779718143 Practice locations: Miami, FL

National Provider Directory

National Provider Directory
Tax ID family
Royal Care Medical Center2 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

9600 SW 8th St
Ste 910
Miami, FL 33174
Phone (786) 953-6415

9600 SW 8th St
Ste 9
Miami, FL 33174
Phone (786) 431-1917

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": "1358985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404172800000",
    "number": "1063750164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9600 SW 8TH ST",
            "address_2": "SUITE 9-10",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331742900",
            "telephone_number": "786-953-6415",
            "fax_number": "786-953-6515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9600 SW 8TH ST",
            "address_2": "SUITE 9-10",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331742900",
            "telephone_number": "786-953-6415",
            "fax_number": "786-953-6515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROYAL CARE MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-24",
        "last_updated": "2014-07-01",
        "status": "A",
        "authorized_official_last_name": "MENDEZ",
        "authorized_official_first_name": "EDUARDO",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER/ PRESIDENT",
        "authorized_official_telephone_number": "786-953-6415",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "HCC10264",
            "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 Jul 1, 2014; 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.