Your Care Health Network LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

YOUR CARE HEALTH NETWORK LLC

Practice address

7171 SW 24TH St
Suite 305
Miami, FL 33155-1449

Phone

(305) 381-5369

Fax

(786) 362-5417

NPI assigned

Jun 29, 2016

Organization subpart

No

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

Authorized official

Name

Mario Rolando Ponce Garcia

Title

Owner/Managing Member

Phone

(305) 381-5369

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1467158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481500800000",
    "number": "1356792469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7171 SW 24TH ST",
            "address_2": "SUITE 305",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331551449",
            "telephone_number": "305-381-5369",
            "fax_number": "786-362-5417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7171 SW 24TH ST",
            "address_2": "SUITE 305",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331551449",
            "telephone_number": "305-381-5369",
            "fax_number": "786-362-5417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR CARE HEALTH NETWORK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-29",
        "last_updated": "2016-12-12",
        "status": "A",
        "authorized_official_last_name": "PONCE GARCIA",
        "authorized_official_first_name": "MARIO",
        "authorized_official_middle_name": "ROLANDO",
        "authorized_official_title_or_position": "OWNER/MANAGING MEMBER",
        "authorized_official_telephone_number": "305-381-5369"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA HEALTH CARE CLINIC LICENSE",
            "identifier": "HCC10768",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Miami, FL
• Providers in Miami, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2016; 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.