Miami Dade Primary Care LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME0014314 Issued in FL

Legal business name

MIAMI DADE PRIMARY CARE LLC

Practice address

2974 SW 8TH St
Miami, FL 33135-2827

Phone

(305) 631-3000

Fax

(305) 631-3009

NPI assigned

Jul 8, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Ramon Carrillo, M.D.

Title

MGR

Phone

(305) 445-7200

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1247011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277251200000",
    "number": "1114156452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3181 CORAL WAY",
            "address_2": "4TH FLOOR",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331453216",
            "telephone_number": "305-445-7200",
            "fax_number": "305-445-7999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2974 SW 8TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331352827",
            "telephone_number": "305-631-3000",
            "fax_number": "305-631-3009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIAMI DADE PRIMARY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-08",
        "last_updated": "2010-06-23",
        "status": "A",
        "authorized_official_last_name": "CARRILLO",
        "authorized_official_first_name": "RAMON",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "305-445-7200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0014314",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "049755000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1548224116",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Miami Dade Medical and Rehabilitation Center Corp
• Miami Dade Medical Center Inc
• Miami Dade Medical Group Inc
• Miami Dade Medical Research Institute LLC
• Miami Dade Pharmacy Discount Inc
• Miami Dade Urgent Care Corp
• Miami Dental Associates
• Miami Dental Care
• Miami Dental Group West Kendall PA
• Miami Dental Lab Associates,Inc

• Internal Medicine Physician in Miami, FL
• Providers in Miami, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2010; 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.