Primecare Renal Group LLC

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

PRIMECARE RENAL GROUP LLC

Practice address

78 SW 13TH Ave Ste 205
Miami, FL 33135-2479

Phone

(305) 746-3907

NPI assigned

Jul 25, 2017

Last updated

Jul 25, 2017By 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. Raul Lopez Lima

Title

MGR

Phone

(305) 746-3907

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1500940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1500940800000",
    "number": "1386167070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 SW 13TH AVE STE 205",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331352479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 SW 13TH AVE STE 205",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331352479",
            "telephone_number": "305-746-3907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMECARE RENAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-25",
        "last_updated": "2017-07-25",
        "status": "A",
        "authorized_official_last_name": "LOPEZ LIMA",
        "authorized_official_first_name": "RAUL",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "305-746-3907",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Miami, FL
• Providers in Miami, FL by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2017; 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.