Organization Active NPI

Amedical Luxury

  • Clinic/Center
  • Hialeah, FL
National Provider Identifier
1376204420
Registry record updated Feb 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
AMEDICAL LUXURY
Practice address
117 E 41St St
Hialeah, FL 33013-2235
Phone
(786) 407-4103
NPI assigned
Dec 30, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2022

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

Authorized official

Name
Mrs. Heather Alexandra Preciado, FNP-CNPI 1295394708
Title
Ceo/Practitioner
Phone
(786) 362-4338

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary
Health Service Clinic/Center 261QH0100X

Addresses

Primary practice location

117 E 41St St
Hialeah, FL 33013-2235

Mailing address

117 E 41St St
Hialeah, FL 33013-2235
Phone (786) 407-4103

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220205000102 FL Part B Supplier - Clinic/Group Practice 1153714670 Receives reassigned benefits from 1 practitioner
Practice locations: Hialeah, FL

National Provider Directory

National Provider Directory

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": "1640822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643673600000",
    "number": "1376204420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 E 41ST ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330132235",
            "telephone_number": "786-407-4103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 E 41ST ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330132235",
            "telephone_number": "786-407-4103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMEDICAL LUXURY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-30",
        "last_updated": "2022-02-01",
        "certification_date": "2022-02-01",
        "status": "A",
        "authorized_official_last_name": "PRECIADO",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "ALEXANDRA",
        "authorized_official_title_or_position": "CEO/PRACTITIONER",
        "authorized_official_telephone_number": "786-362-4338",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Feb 1, 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.