Prime Care Medical Center LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PRIME CARE MEDICAL CENTER LLC

Practice address

5612 NW 167TH St
Miami Lakes, FL 33014-6135

Phone

(786) 238-7261

NPI assigned

Apr 25, 2024

Last updated

Feb 4, 2026By 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

Andy Garcia

Title

President

Phone

(786) 879-0856

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Tax ID family

Prime Care 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.

• Prime Mental Health, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Miami Lakes, FL
  • NPI 1063216943
  NPD tax ID

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.

• Raja Moti Gidwani, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Miramar, FL
  • NPI 1235165051
  Medicare reassignment NPD
• Maria de Los Angeles Gonzalez, FNP

  • Family Nurse Practitioner
  • Hialeah, FL
  • NPI 1760145197
  Medicare reassignment

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

{
    "created_epoch": "1714003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770163200000",
    "number": "1366298986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5881 NW 151ST ST STE 210",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142456",
            "telephone_number": "786-879-0856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5612 NW 167TH ST",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330146135",
            "telephone_number": "786-238-7261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME CARE MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-25",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "ANDY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-879-0856"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janis Prieto Fernandez, REGISTER BEHAVIOR TE
• Heidys Prieto, PSY.D
• Misael Alberto Prieto, M. D.
• Robert Prieto, R.PH.
• Primary Medical Staffing, Inc.
• Prime Home Health Care Corp
• Prime Mental Health, LLC
• Pro Injury, LLC
• Procare Orthopedics, Inc
• Productive Minds LLC

• Family Medicine Physician in Miami Lakes, FL
• Providers in Miami Lakes, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2026; 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.