Alta Medical Care, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

ALTA MEDICAL CARE, LLC

Practice address

3537 N Pine Island Rd
Sunrise, FL 33351-6638

Phone

(954) 270-4325

NPI assigned

Mar 22, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Benz R Celestin

Title

Managing Owner

Phone

(954) 270-4325

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Charles Harry Richard, DO

  • Family Medicine Physician
  • Fort Lauderdale, FL
  • NPI 1497766158
  Medicare reassignment NPD
• Bertane Pierre, APRN

  • Nurse Practitioner
  • Sunrise, FL
  • NPI 1689560716

  Single Specialty

  NPD

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

{
    "created_epoch": "1711065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727827200000",
    "number": "1265282404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3537 N PINE ISLAND RD",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333516638",
            "telephone_number": "954-270-4325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3537 N PINE ISLAND RD",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333516638",
            "telephone_number": "954-270-4325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTA MEDICAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-22",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A",
        "authorized_official_last_name": "CELESTIN",
        "authorized_official_first_name": "BENZ",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MANAGING OWNER",
        "authorized_official_telephone_number": "954-270-4325",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alejandra Almeria, FNP-C
• Maria Almonte, SLPA
• Alfredo Ramon Aloma Ferrer
• Mary Joylene Rivera Along
• Arlety Alonso Garcia
• Elizabeth Altamirano, PHD
• Alternate Family Care Inc
• Michelle Renee Altman, LDO
• Yvemith Aluc, ARNP
• Mia Elizabeth Alvarez-Ortiz

• Primary Care Clinic/Center in Sunrise, FL
• Providers in Sunrise, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; 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.

Verify at the official NPI Registry.