Organization Active NPI

MLTC-Doctors Inc.

  • Internal Medicine Physician
  • Homestead, FL
National Provider Identifier
1396860482
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS8777 Issued in FL
Legal business name
MLTC-DOCTORS INC.
Practice address
1330 NW 1St Ave
Homestead, FL 33030-4212
Phone
(305) 248-0271
NPI assigned
Mar 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Francisco Fernandez, D.O.
Title
President
Phone
(786) 573-1770

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X OS8777 FL Primary

Addresses

Primary practice location

1330 NW 1St Ave
Homestead, FL 33030-4212

Mailing address

15392 SW 19TH Ter
Miami, FL 33185-5725
Phone (786) 573-1770

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396860482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15392 SW 19TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331855725",
            "telephone_number": "786-573-1770",
            "fax_number": "786-573-1501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 NW 1ST AVE",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330304212",
            "telephone_number": "305-248-0271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MLTC-DOCTORS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "FRANCISCO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-573-1770",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS8777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homestead, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.