Organization Active NPI

Med-Care Medical Center Inc

  • General Practice Physician
  • Miami, FL
National Provider Identifier
1144262833
Registry record updated Aug 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
HCC5018 Issued in FL
Legal business name
MED-CARE MEDICAL CENTER INC
Practice address
9732 SW 24TH St
Miami, FL 33165-7513
Phone
(305) 221-0660
Fax
(305) 221-0696
NPI assigned
Jun 10, 2006
Last updated
Aug 24, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2022

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

Authorized official

Name
Carlos NavarroNPI 1881147767
Title
President
Phone
(305) 221-0660

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 Physician 208D00000X HCC5018 FL Primary

Addresses

Primary practice location

9732 SW 24TH St
Miami, FL 33165-7513

Mailing address

9732 SW 24TH St
Miami, FL 33165-7513
Phone (305) 221-0660

Other identifiers 1

IdentifierTypeStateIssuer
268899900MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031219000469 FL Part B Supplier - Clinic/Group Practice 0941108674 Receives reassigned benefits from 7 practitioners
Practice locations: Miami, FL

National Provider Directory

National Provider Directory

Locations

9766 SW 24th St
Ste 9
Miami, FL 33165
Phone (305) 221-0660

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661299200000",
    "number": "1144262833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9732 SW 24TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331657513",
            "telephone_number": "305-221-0660",
            "fax_number": "305-221-0696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9732 SW 24TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331657513",
            "telephone_number": "305-221-0660",
            "fax_number": "305-221-0696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED-CARE MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A",
        "authorized_official_last_name": "NAVARRO",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-221-0660"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "HCC5018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "268899900",
            "state": "FL"
        }
    ],
    "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 24, 2022; 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.