Organization Active NPI

Physician Care Managment, LLC.

  • Exclusive Provider Organization
  • Miami, FL
National Provider Identifier
1235407396
Registry record updated Dec 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
Legal business name
PHYSICIAN CARE MANAGMENT, LLC.
Practice address
2655 S Le Jeune Rd
#804
Miami, FL 33134-5832
Phone
(305) 263-1090
NPI assigned
Dec 5, 2011
Organization subpart
Yes
Parent organization
PHYSICIAN CARE MANAGMENT, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 5, 2011

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

Authorized official

Name
Santiago Freire
Title
President
Phone
(305) 263-1090

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X Primary

Addresses

Primary practice location

2655 S Le Jeune Rd
#804
Miami, FL 33134-5832

Mailing address

2655 Lejeune Road
#804
Coral Gables, FL 33134

National Provider Directory

National Provider Directory
Part of
Physician Care Managment LLC

Locations

2655 S Le Jeune Rd
Ste 804
Miami, FL 33134
Phone (305) 263-1090

NPI Registry JSON

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

{
    "created_epoch": "1323043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323043200000",
    "number": "1235407396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2655 LEJEUNE ROAD",
            "address_2": "#804",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "33134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2655 S LE JEUNE RD",
            "address_2": "#804",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331345832",
            "telephone_number": "305-263-1090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIAN CARE MANAGMENT, LLC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PHYSICIAN CARE MANAGMENT, LLC",
        "enumeration_date": "2011-12-05",
        "last_updated": "2011-12-05",
        "status": "A",
        "authorized_official_last_name": "FREIRE",
        "authorized_official_first_name": "SANTIAGO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-263-1090"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": null,
            "license": null,
            "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 Dec 5, 2011; 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.