NPIMap

Organization Active NPI

Mem Preventive Medical Services LLC

  • Rural Health Clinic/Center
  • Marathon, FL
National Provider Identifier
1174251474
Registry record updated Aug 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
MEM PREVENTIVE MEDICAL SERVICES LLC
Practice address
5180 Overseas Hwy
Marathon, FL 33050-2624
Phone
(305) 517-6995
NPI assigned
Aug 13, 2022
Last updated
Aug 13, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2022

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

Authorized official

Name
Mildrey Exposito, APRNNPI 1437790045
Title
Ceo
Phone
(305) 517-6995

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

5180 Overseas Hwy
Marathon, FL 33050-2624

Mailing address

5180 Overseas Hwy
Marathon, FL 33050-2624
Phone (305) 517-6995

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL mpmscorporate@gmail.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1660348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660348800000",
    "number": "1174251474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5180 OVERSEAS HWY",
            "city": "MARATHON",
            "state": "FL",
            "postal_code": "330502624",
            "telephone_number": "305-517-6995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5180 OVERSEAS HWY",
            "city": "MARATHON",
            "state": "FL",
            "postal_code": "330502624",
            "telephone_number": "305-517-6995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEM PREVENTIVE MEDICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-13",
        "last_updated": "2022-08-13",
        "certification_date": "2022-08-13",
        "status": "A",
        "authorized_official_last_name": "EXPOSITO",
        "authorized_official_first_name": "MILDREY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "305-517-6995",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "mpmscorporate@gmail.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5180 Overseas Hwy",
            "city": "Marathon",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330502624",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Marathon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2022; 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.