PMC Homestead, Corp.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

PMC HOMESTEAD, CORP.

Practice address

15335 SW 288TH St
Homestead, FL 33033-1356

Phone

(305) 248-3814

NPI assigned

Sep 20, 2012

Last updated

Mar 2, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Spencer Angel

Title

Pres

Phone

(305) 255-1355

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Michel Granados-Ruiz, APRN

  • Family Nurse Practitioner
  • Plantation, FL
  • NPI 1740754720
  NPD (past)
• Alexandra Tracy, APRN

  • Family Nurse Practitioner
  • Tampa, FL
  • NPI 1205118825
  NPD (past)

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

{
    "created_epoch": "1348099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614643200000",
    "number": "1336490077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15335 SW 288TH STREET",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "33033",
            "telephone_number": "305-248-3814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15335 SW 288TH ST",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330331356",
            "telephone_number": "305-248-3814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PMC HOMESTEAD, CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-20",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-02",
        "status": "A",
        "authorized_official_last_name": "ANGEL",
        "authorized_official_first_name": "SPENCER",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "305-255-1355",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yirka Pixa Ramirez, APRN
• Ammy Placeres
• Lidieski Plasencia Nordelo
• Playful Voices Speech Therapy LLC
• Sandra Pluas
• Luis Alonso Polanco
• Paola Polanco
• Wendy Polanco
• Jason Anderson Polo
• Abigail Pomares, ARNP

• Clinic/Center in Homestead, FL
• Providers in Homestead, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2021; 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.