Organization Active NPI

Spectrum Medical Care Inc

  • Clinic/Center
  • Miami, FL
National Provider Identifier
1144313230
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
HCC7242 Issued in FL
Legal business name
SPECTRUM MEDICAL CARE INC
Practice address
601 SW 57TH Ave
Miami, FL 33144-3977
Phone
(305) 266-3966
Fax
(305) 266-4669
NPI assigned
Oct 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Lisset M. Suarez
Title
President Owner
Phone
(305) 266-3966

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X HCC7242 FL Primary

Addresses

Primary practice location

601 SW 57TH Ave
Miami, FL 33144-3977

Mailing address

601 SW 57TH Ave
Miami, FL 33144-3977
Phone (305) 266-3966

Other identifiers 1

IdentifierTypeStateIssuer
HCC7242OtherFLAHCA LICENSE

National Provider Directory

National Provider Directory

Locations

601 SW 57th Ave
Miami, FL 33144
Phone (305) 261-4170

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144313230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 SW 57TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331443977",
            "telephone_number": "305-266-3966",
            "fax_number": "305-266-4669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 SW 57TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331443977",
            "telephone_number": "305-266-3966",
            "fax_number": "305-266-4669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM MEDICAL CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SUAREZ",
        "authorized_official_first_name": "LISSET",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "305-266-3966",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "HCC7242",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA LICENSE",
            "identifier": "HCC7242",
            "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 22, 2020; 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.