NPIMap

Organization Active NPI

Miami Rescue Mission Clinic, Inc

  • Primary Care Clinic/Center
  • Miami, FL
National Provider Identifier
1154688174
Registry record updated Jun 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
PA3622 Issued in FL
Legal business name
MIAMI RESCUE MISSION CLINIC, INC
Practice address
2015 NW 1St Ave
Miami, FL 33127-4901
Phone
(305) 571-2273
Fax
(305) 572-2025
NPI assigned
Apr 16, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2012

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

Authorized official

Name
Dr. Pete A. Gutierrez, M.D.
Title
President
Phone
(305) 606-5317

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X PA3622 FL Primary

Addresses

Primary practice location

2015 NW 1St Ave
Miami, FL 33127-4901

Mailing address

2015 NW 1St Ave
Miami, FL 33127-4901
Phone (305) 571-2273

Other identifiers 1

IdentifierTypeStateIssuer
3537400MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Miami Rescue Mission Clinic Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23939/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1334534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338940800000",
    "number": "1154688174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 NW 1ST AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331274901",
            "telephone_number": "305-571-2273",
            "fax_number": "305-572-2025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 NW 1ST AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331274901",
            "telephone_number": "305-571-2273",
            "fax_number": "305-572-2025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIAMI RESCUE MISSION CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-16",
        "last_updated": "2012-06-06",
        "status": "A",
        "authorized_official_last_name": "GUTIERREZ",
        "authorized_official_first_name": "PETE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-606-5317",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "PA3622",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3537400",
            "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 Jun 6, 2012; 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.