Organization Active NPI

Terranova Medical Center 1 Corp

  • Primary Care Clinic/Center
  • Miami, FL
National Provider Identifier
1144827569
Registry record updated Jul 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
TERRANOVA MEDICAL CENTER 1 CORP
Practice address
468 NW 27TH Ave
Miami, FL 33125-3434
Phone
(786) 790-3271
Fax
(305) 560-5535
NPI assigned
Oct 8, 2020
Last updated
Jul 11, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2023

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

Authorized official

Name
Mrs. Yadira Delgado
Title
Owner
Phone
(786) 790-3271

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

468 NW 27TH Ave
Miami, FL 33125-3434

Mailing address

468 NW 27TH Ave
Miami, FL 33125-3434
Phone (786) 790-3271

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220906000678 FL Part B Supplier - Clinic/Group Practice 8426432774 Receives reassigned benefits from 1 practitioner
Practice locations: Miami, FL

National Provider Directory

National Provider Directory

Locations

468 NW 27th Ave
Miami, FL 33125
Phone (786) 706-5100

721 NW 21st Ct
Miami, FL 33125
Phone (645) 214-5482

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 3

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": "1602115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689033600000",
    "number": "1144827569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "468 NW 27TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331253434",
            "telephone_number": "786-790-3271",
            "fax_number": "305-560-5535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "468 NW 27TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331253434",
            "telephone_number": "786-790-3271",
            "fax_number": "305-560-5535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRANOVA MEDICAL CENTER 1 CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-08",
        "last_updated": "2023-07-11",
        "certification_date": "2023-06-26",
        "status": "A",
        "authorized_official_last_name": "DELGADO",
        "authorized_official_first_name": "YADIRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-790-3271",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "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 Jul 11, 2023; 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.