Organization Active NPI

Medica Healthcare Plans, Inc

  • Primary Care Clinic/Center
  • Hialeah, FL
National Provider Identifier
1285724286
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
MEDICA HEALTHCARE PLANS, INC
Practice address
1905 West 35 St
Suite 105
Hialeah, FL 33012-4534
Phone
(305) 519-6090
NPI assigned
Oct 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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
(305) 519-6090

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

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

Mailing address

4060 SW 152ND Ave
Miramar, FL 33027-3365
Phone (305) 519-6090

National Provider Directory

National Provider Directory
Tax ID family
Medica Healthcare Plans Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1905 W 35th St
Ste 105
Hialeah, FL 33012
Phone (305) 519-6090

Practitioners & affiliated clinicians

Practitioners 2

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": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285724286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4060 SW 152ND AVE",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330273365",
            "telephone_number": "305-519-6090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 WEST 35 ST",
            "address_2": "SUITE 105",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330124534",
            "telephone_number": "305-519-6090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICA HEALTHCARE PLANS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RUBIO",
        "authorized_official_first_name": "EDUARDO",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "305-519-6090",
        "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": []
}

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 Aug 22, 2020; 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.