Active NPI
Miami Family Medical Center Inc
- Family Medicine Physician
- Miami, FL
National Provider Identifier
1215029921
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME0038894
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D1055908 | Miami Family Medical Center | Certificate of waiver | Jun 28, 2028 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- General Practice Physician
- Miami, FL
- NPI 1639121577
-
- Physician Assistant
- Miami, FL
- NPI 1750333910
-
- Physician Assistant
- Miami, FL
- NPI 1811917081
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.