NPIMap

Organization Active NPI

Total Care Medical Centers LLC

  • Internal Medicine Physician
  • Boynton Beach, FL
National Provider Identifier
1285212050
Registry record updated Jun 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
TOTAL CARE MEDICAL CENTERS LLC
Practice address
8200 S Jog Rd Ste 205
Boynton Beach, FL 33472-2981
Phone
(561) 412-9373
Fax
(561) 412-9373
NPI assigned
Mar 31, 2021
Last updated
Jun 23, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2024

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

Authorized official

Name
Yennisleydi Jimenez
Title
Staff
Phone
(561) 412-9373

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

8200 S Jog Rd Ste 205
Boynton Beach, FL 33472-2981

Mailing address

8200 S Jog Rd Ste 205
Boynton Beach, FL 33472-2981
Phone (561) 517-9049

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210817002828 FL Part B Supplier - Clinic/Group Practice 1052716875 Receives reassigned benefits from 20 practitioners
Practice locations: Vero Beach, FL; Pompano Beach, FL; Palm Beach Gardens, FL; Orlando, FL; Lake Worth, FL; Kissimmee, FL; Jacksonville, FL; Boynton Beach, FL…

National Provider Directory

National Provider Directory

Locations

1414 N Ronald Reagan Blvd
Unit 1200
Longwood, FL 32750
Phone (407) 878-3208

3900 S Goldenrod Rd
Orlando, FL 32822

1840 Eldron Blvd SE
Ste 2
Palm Bay, FL 32909
Phone (561) 523-3973

1600 E Atlantic Blvd
Ste B
Pompano Beach, FL 33060
Phone (954) 366-5131

Practitioners & affiliated clinicians

Practitioners 34

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1617148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719100800000",
    "number": "1285212050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 S JOG RD STE 205",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334722981",
            "telephone_number": "561-517-9049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 S JOG RD STE 205",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334722981",
            "telephone_number": "561-412-9373",
            "fax_number": "561-412-9373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL CARE MEDICAL CENTERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-31",
        "last_updated": "2024-06-23",
        "certification_date": "2024-06-23",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ",
        "authorized_official_first_name": "YENNISLEYDI",
        "authorized_official_title_or_position": "STAFF",
        "authorized_official_telephone_number": "561-412-9373"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.