Organization Active NPI

Comprehensive Urgent Care Inc.

  • Health Maintenance Organization
  • North Miami, FL
National Provider Identifier
1184863151
Registry record updated Feb 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
0S4440 Issued in FL
Legal business name
COMPREHENSIVE URGENT CARE INC.
Practice address
671 NW 119TH St
North Miami, FL 33168-2522
Phone
(305) 688-0188
Fax
(305) 687-5831
NPI assigned
Feb 13, 2009
Organization subpart
Yes
Parent organization
COMPREHENSIVE HEALTH CENTER LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 13, 2009

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

Authorized official

Name
Dr. Rudolph Guy Moise, D.O.
Title
Ceo
Phone
(305) 688-0811

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 0S4440 FL Primary

Addresses

Primary practice location

671 NW 119TH St
North Miami, FL 33168-2522

Mailing address

671 NW 119TH St
North Miami, FL 33168-2522
Phone (305) 688-0811

Other identifiers 1

IdentifierTypeStateIssuer
68084200MedicaidFL

National Provider Directory

National Provider Directory
Part of
Comprehensive Urgent Care Inc

Locations

671 NW 119th St
North Miami, FL 33168
Phone (305) 688-0811

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1234483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234483200000",
    "number": "1184863151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "671 NW 119TH ST",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331682522",
            "telephone_number": "305-688-0811",
            "fax_number": "305-687-5831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "671 NW 119TH ST",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331682522",
            "telephone_number": "305-688-0188",
            "fax_number": "305-687-5831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE URGENT CARE INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMPREHENSIVE HEALTH CENTER LLC",
        "enumeration_date": "2009-02-13",
        "last_updated": "2009-02-13",
        "status": "A",
        "authorized_official_last_name": "MOISE",
        "authorized_official_first_name": "RUDOLPH",
        "authorized_official_middle_name": "GUY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "305-688-0811",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "FL",
            "license": "0S4440",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "68084200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami, FL

Sources for this page

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