Active NPI
Miami Rescue Mission Clinic Inc
- Community Health Clinic/Center
- Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Clinic/Center
- License
- ACN296
- Legal business name
- MIAMI RESCUE MISSION CLINIC INC
- Practice address
- 2015 NW 1St Ave
Miami, FL 33127-4901 - Phone
- (305) 572-2026
- NPI assigned
- Mar 27, 2017
- Last updated
- Mar 27, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Pete Gutierrez, M.D.
- Title
- Medical Director
- Phone
- (305) 572-2026
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Clinic/Center | 261QC1500X | ACN296 | FL | Primary |
Addresses
Primary practice location
2015 NW 1St Ave
Miami, FL 33127-4901
Mailing address
2015 NW 1St Ave
Miami, FL 33127-4901
Phone (305) 572-2026
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003537402 | Medicaid | FL |
National Provider Directory
National Provider Directory- Tax ID family
- Miami Rescue Mission Clinic Inc
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community Health Clinic/Center
- Miami, FL
- NPI 1740624055
-
- Community Health Worker
- Miami, FL
- NPI 1891081188
-
- Primary Care Clinic/Center
- Miami, FL
- NPI 1154688174
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- General Practice Physician
- Miami, FL
- NPI 1013928985
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490572800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1490572800000",
"number": "1396276846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2015 NW 1ST AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331274901",
"telephone_number": "305-572-2026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2015 NW 1ST AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331274901",
"telephone_number": "305-572-2026"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIAMI RESCUE MISSION CLINIC INC",
"organizational_subpart": "NO",
"enumeration_date": "2017-03-27",
"last_updated": "2017-03-27",
"status": "A",
"authorized_official_last_name": "GUTIERREZ",
"authorized_official_first_name": "PETE",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "305-572-2026",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QC1500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Community Health",
"state": "FL",
"license": "ACN296",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003537402",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.