NPIMap

Organization Active NPI

Primecare Medical Management

  • Point of Service
  • Coral Gables, FL
National Provider Identifier
1093159485
Registry record updated Apr 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
ME78770 Issued in FL
Legal business name
PRIMECARE MEDICAL MANAGEMENT
Practice address
4131 SW 6TH St
Coral Gables, FL 33134-2057
Phone
(305) 442-2228
Fax
(305) 442-2207
NPI assigned
Apr 29, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2013

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

Authorized official

Name
Mr. Rene Casanova
Title
President
Phone
(305) 442-2228

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X ME78770 FL Primary

Addresses

Primary practice location

4131 SW 6TH St
Coral Gables, FL 33134-2057

Mailing address

4131 SW 6TH St
Coral Gables, FL 33134-2057
Phone (305) 442-2228

National Provider Directory

National Provider Directory
Tax ID family
Primecare Family Centers 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.

NPI Registry JSON

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

{
    "created_epoch": "1367193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367193600000",
    "number": "1093159485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4131 SW 6TH ST",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331342057",
            "telephone_number": "305-442-2228",
            "fax_number": "305-442-2207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4131 SW 6TH ST",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331342057",
            "telephone_number": "305-442-2228",
            "fax_number": "305-442-2207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMECARE MEDICAL MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-29",
        "last_updated": "2013-04-29",
        "status": "A",
        "authorized_official_last_name": "CASANOVA",
        "authorized_official_first_name": "RENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-442-2228",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "FL",
            "license": "ME78770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2013; 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.