Organization Active NPI

Miami Family Medical Center Inc

  • Family Medicine Physician
  • Miami, FL
National Provider Identifier
1215029921
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME0038894 Issued in FL
Legal business name
MIAMI FAMILY MEDICAL CENTER INC
Practice address
10146 West Flagler Street
Miami, FL 33174
Phone
(305) 553-2020
Fax
(305) 553-2010
NPI assigned
Sep 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jose Barquero
Title
Manager
Phone
(786) 586-5787

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X ME0038894 FL Primary

Addresses

Primary practice location

10146 West Flagler Street
Miami, FL 33174

Mailing address

10146 West Flagler Street
Miami, FL 33174
Phone (305) 553-2020

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070226000457 FL Part B Supplier - Clinic/Group Practice 5294837001 Receives reassigned benefits from 2 practitioners
Practice locations: Miami, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D1055908Miami Family Medical Center10146 W Flagler St, Miami, FL 33174Certificate of waiverJun 28, 2028

National Provider Directory

National Provider Directory

Locations

10146 W Flagler St
Miami, FL 33174
Phone (305) 552-2020

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215029921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10146 WEST FLAGLER STREET",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33174",
            "telephone_number": "305-553-2020",
            "fax_number": "305-553-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10146 WEST FLAGLER STREET",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33174",
            "telephone_number": "305-553-2020",
            "fax_number": "305-553-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIAMI FAMILY MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BARQUERO",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "786-586-5787"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME0038894",
            "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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.