Organization Active NPI

Master Care Medical Center Inc

  • Clinic/Center
  • Miami, FL
National Provider Identifier
1124016308
Registry record updated Sep 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
HCC4904 Issued in FL
Legal business name
MASTER CARE MEDICAL CENTER INC
Practice address
11865 SW 26TH St
Ste J9
Miami, FL 33175-2400
Phone
(305) 223-7913
Fax
(305) 223-7912
NPI assigned
Oct 11, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2008

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

Authorized official

Name
Mr. Juan De la Cruz Gonzalez
Title
Owner/President
Phone
(305) 223-7913

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X HCC4904 FL Primary

Addresses

Primary practice location

11865 SW 26TH St
Ste J9
Miami, FL 33175-2400

Mailing address

11865 SW 26TH St
Ste J9
Miami, FL 33175-2400
Phone (305) 223-7913

National Provider Directory

National Provider Directory

Locations

7911 NW 72nd Ave
Ste 119A
Medley, FL 33166
Phone (305) 223-7913

11865 SW 26th St
Ste J9
Miami, FL 33175
Phone (305) 223-7913

Practitioners & affiliated clinicians

Practitioners 4

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": "1128988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221004800000",
    "number": "1124016308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11865 SW 26TH ST",
            "address_2": "STE J9",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331752400",
            "telephone_number": "305-223-7913",
            "fax_number": "305-223-7912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11865 SW 26TH ST",
            "address_2": "STE J9",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331752400",
            "telephone_number": "305-223-7913",
            "fax_number": "305-223-7912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASTER CARE MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-11",
        "last_updated": "2008-09-10",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "DE LA CRUZ",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "305-223-7913",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "HCC4904",
            "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 Sep 10, 2008; 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.