Organization Active NPI

A & a Medical Center,LLC

  • Clinic/Center
  • Tampa, FL
National Provider Identifier
1316464746
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
A & A MEDICAL CENTER,LLC
Practice address
2916 W Waters Ave Ste A2
Tampa, FL 33614-1869
Phone
(813) 450-3709
Fax
(813) 450-3709
NPI assigned
Aug 25, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Ana Cecilia Reyes
Title
President
Phone
(813) 450-3707

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

2916 W Waters Ave Ste A2
Tampa, FL 33614-1869

Mailing address

2916 W Waters Ave Ste A2
Tampa, FL 33614-1869
Phone (813) 450-3709

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190426000330 FL Part B Supplier - Clinic/Group Practice 1951643733 Receives reassigned benefits from 1 practitioner
Practice locations: Tampa, FL

National Provider Directory

National Provider Directory
Tax ID family
A a Medical Center LLC2 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

3105 W Waters Ave
Ste 210
Tampa, FL 33614
Phone (813) 450-3707

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1503619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1316464746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2916 W WATERS AVE STE A2",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336141869",
            "telephone_number": "813-450-3709",
            "fax_number": "813-450-3709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2916 W WATERS AVE STE A2",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336141869",
            "telephone_number": "813-450-3709",
            "fax_number": "813-450-3709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A & A MEDICAL CENTER,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-25",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "ANA",
        "authorized_official_middle_name": "CECILIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-450-3707"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.