Organization Active NPI

PMC Medical Center, Inc.

Doing business as Premier Medical Center

  • Multi-Specialty Clinic/Center
  • Miami, FL
National Provider Identifier
1295735132
Registry record updated Sep 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
License
HCC3895 Issued in FL
Legal business name
PMC MEDICAL CENTER, INC.
Doing business as
Premier Medical Center
Practice address
1500 SW 27TH Ave
Miami, FL 33145-2043
Phone
(305) 448-1500
Fax
(305) 448-8681
NPI assigned
Jul 21, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2015

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

Authorized official

Name
Mrs. Mayra Arguelles
Title
Owner
Phone
(305) 448-1500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X HCC3895 FL Primary

Addresses

Primary practice location

1500 SW 27TH Ave
Miami, FL 33145-2043

Mailing address

1500 SW 27TH Ave
Miami, FL 33145-2043
Phone (305) 448-1500

Other identifiers 1

IdentifierTypeStateIssuer
380201901MedicaidFL

Other names 1

  • Premier Medical Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442448000000",
    "number": "1295735132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 SW 27TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331452043",
            "telephone_number": "305-448-1500",
            "fax_number": "305-448-8681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 SW 27TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331452043",
            "telephone_number": "305-448-1500",
            "fax_number": "305-448-8681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PMC MEDICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-21",
        "last_updated": "2015-09-17",
        "status": "A",
        "authorized_official_last_name": "ARGUELLES",
        "authorized_official_first_name": "MAYRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-448-1500",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "FL",
            "license": "HCC3895",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "380201901",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2015; 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.