Organization Active NPI

Humana Care Center Inc

  • Family Medicine Physician
  • Hialeah, FL
National Provider Identifier
1326095456
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
HUMANA CARE CENTER INC
Practice address
4715 NW 157TH St
Suite 107
Hialeah, FL 33014-6435
Phone
(305) 628-2177
Fax
(305) 628-2178
NPI assigned
May 27, 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
Pedro Eduardo Gonzalez
Title
President
Phone
(305) 628-2177

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

4715 NW 157TH St
Suite 107
Hialeah, FL 33014-6435

Mailing address

4715 NW 157TH St
Suite 107
Hialeah, FL 33014-6435
Phone (305) 628-2177

National Provider Directory

National Provider Directory

Locations

4715 NW 157th St
Ste 107
Miami Lakes, FL 33014
Phone (305) 628-2177

Practitioners & affiliated clinicians

Practitioners 1

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": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326095456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4715 NW 157TH ST",
            "address_2": "SUITE 107",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330146435",
            "telephone_number": "305-628-2177",
            "fax_number": "305-628-2178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4715 NW 157TH ST",
            "address_2": "SUITE 107",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330146435",
            "telephone_number": "305-628-2177",
            "fax_number": "305-628-2178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMANA CARE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "PEDRO",
        "authorized_official_middle_name": "EDUARDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-628-2177"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "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.