Organization Active NPI

Medica Care of Florida Incorporated

  • Primary Care Clinic/Center
  • Hialeah, FL
National Provider Identifier
1255415485
Registry record updated May 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
MEDICA CARE OF FLORIDA INCORPORATED
Practice address
1905 West 35 Street
Suite 105
Hialeah, FL 33012-4534
Phone
(786) 464-5555
Fax
(305) 820-3504
NPI assigned
Oct 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2008

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

Authorized official

Name
Mr. Eduardo Rubio
Title
Director
Phone
(786) 464-5555

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X 6039 FL
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

1905 West 35 Street
Suite 105
Hialeah, FL 33012-4534

Mailing address

1905 W 35TH St
Hialeah, FL 33012-4500
Phone (786) 464-5555

National Provider Directory

National Provider Directory

Locations

1905 W 35th St
Hialeah, FL 33012

Practitioners & affiliated clinicians

Practitioners 3

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": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210118400000",
    "number": "1255415485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 W 35TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330124500",
            "telephone_number": "786-464-5555",
            "fax_number": "305-820-3504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 WEST 35 STREET",
            "address_2": "SUITE 105",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330124534",
            "telephone_number": "786-464-5555",
            "fax_number": "305-820-3504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICA CARE OF FLORIDA INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2008-05-07",
        "status": "A",
        "authorized_official_last_name": "RUBIO",
        "authorized_official_first_name": "EDUARDO",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "786-464-5555",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "FL",
            "license": "6039",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2008; 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.