NPIMap

Organization Active NPI

Medcare Quality Medical Centers, LLC

  • Clinic/Center
  • Cutler Bay, FL
National Provider Identifier
1245647023
Registry record updated Jun 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
MEDCARE QUALITY MEDICAL CENTERS, LLC
Practice address
10980 SW 184TH St
Cutler Bay, FL 33157-6615
Phone
(305) 351-9346
Fax
(305) 351-9347
NPI assigned
Jul 14, 2014
Last updated
Jun 12, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2017

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

Authorized official

Name
Mr. Manuel Igelisias
Title
Ceo
Phone
(786) 641-5348

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

10980 SW 184TH St
Cutler Bay, FL 33157-6615

Mailing address

8750 NW 36TH Street
Suite 300
Doral, FL 33178
Phone (786) 641-5348

Other identifiers 1

IdentifierTypeStateIssuer
08775300MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Medcare Quality Medical Center LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1405296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497225600000",
    "number": "1245647023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8750 NW 36TH STREET",
            "address_2": "SUITE 300",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "33178",
            "telephone_number": "786-641-5348",
            "fax_number": "305-615-1121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10980 SW 184TH ST",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331576615",
            "telephone_number": "305-351-9346",
            "fax_number": "305-351-9347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDCARE QUALITY MEDICAL CENTERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-14",
        "last_updated": "2017-06-12",
        "status": "A",
        "authorized_official_last_name": "IGELISIAS",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "786-641-5348",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08775300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cutler Bay, FL

Sources for this page

  • 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.