Organization Active NPI

Certified Medical Care Inc

  • Family Medicine Physician
  • Miami, FL
National Provider Identifier
1396799839
Registry record updated Oct 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CERTIFIED MEDICAL CARE INC
Practice address
721 NW 29TH St
Miami, FL 33127-3828
Phone
(305) 637-6634
NPI assigned
May 20, 2006
Last updated
Oct 5, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2007

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

Authorized official

Name
Stephanie Leyva
Title
President
Phone
(305) 637-6634

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

721 NW 29TH St
Miami, FL 33127-3828

Mailing address

721 NW 29TH St
Miami, FL 33127-3828
Phone (305) 637-6634

National Provider Directory

National Provider Directory

Locations

721 NW 29th St
Miami, FL 33127
Phone (305) 637-6634

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.

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191542400000",
    "number": "1396799839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 NW 29TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331273828",
            "telephone_number": "305-637-6634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 NW 29TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331273828",
            "telephone_number": "305-637-6634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CERTIFIED MEDICAL CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2007-10-05",
        "status": "A",
        "authorized_official_last_name": "LEYVA",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-637-6634"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 5, 2007; 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.