Organization Active NPI

Medica Health Plans of Florida, Inc.

  • Health Maintenance Organization
  • Coral Gables, FL
National Provider Identifier
1154657260
Registry record updated Oct 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
MEDICA HEALTH PLANS OF FLORIDA, INC.
Practice address
4000 Ponce de Leon Blvd
Ste 650
Coral Gables, FL 33146-1431
Phone
(305) 460-0600
Fax
(305) 460-0613
NPI assigned
Oct 23, 2009
Last updated
Oct 23, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2009

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

Authorized official

Name
Mr. Jose I Moralejo
Title
Director - Support Services
Phone
(305) 460-0600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X FL Primary

Addresses

Primary practice location

4000 Ponce de Leon Blvd
Ste 650
Coral Gables, FL 33146-1431

Mailing address

4000 Ponce de Leon Blvd
Ste 650
Coral Gables, FL 33146-1431
Phone (305) 460-0600

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1256256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256256000000",
    "number": "1154657260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 PONCE DE LEON BLVD",
            "address_2": "STE 650",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331461431",
            "telephone_number": "305-460-0600",
            "fax_number": "305-460-0613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 PONCE DE LEON BLVD",
            "address_2": "STE 650",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331461431",
            "telephone_number": "305-460-0600",
            "fax_number": "305-460-0613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICA HEALTH PLANS OF FLORIDA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-23",
        "last_updated": "2009-10-23",
        "status": "A",
        "authorized_official_last_name": "MORALEJO",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "DIRECTOR - SUPPORT SERVICES",
        "authorized_official_telephone_number": "305-460-0600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2009; 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.