Med Plan Clinic, LLC

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

Legal business name

MED PLAN CLINIC, LLC

Practice address

7200 NW 7TH Street
Miami, FL 33126

Phone

(305) 266-2929

Fax

(305) 907-6099

NPI assigned

Mar 22, 2013

Organization subpart

No

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

Authorized official

Name

Manuel Iglesias

Title

Ceo

Phone

(786) 641-5348

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1363910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497225600000",
    "number": "1215279732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3155 NW 77TH AVENUE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33122",
            "telephone_number": "305-266-2929",
            "fax_number": "305-907-6099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 NW 7TH STREET",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33126",
            "telephone_number": "305-266-2929",
            "fax_number": "305-907-6099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED PLAN CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-22",
        "last_updated": "2017-06-12",
        "status": "A",
        "authorized_official_last_name": "IGLESIAS",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "786-641-5348"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "O18781000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Med Pro Home Health Service Inc
• Med Pro Home Health Services Inc
• Med Pro Rehab Corp
• Med Professional Services Inc

• Community Health Clinic/Center in Miami, FL
• Providers in Miami, FL by specialty
• Community Health Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2017; 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.