Organization Active NPI

Healthra Medical Center Corp

  • Adult Medicine Physician
  • Miami, FL
National Provider Identifier
1417528829
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
Legal business name
HEALTHRA MEDICAL CENTER CORP
Practice address
8512 SW 8TH St
Miami, FL 33144-4053
Phone
(305) 239-7477
Fax
(786) 633-5944
NPI assigned
Jul 7, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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

Authorized official

Name
Carlos Rodriguez
Title
Ceo/Owner
Phone
(786) 452-6858

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QA0505X Primary
Community Health Clinic/Center 261QC1500X

Addresses

Primary practice location

8512 SW 8TH St
Miami, FL 33144-4053

Mailing address

8512 SW 8TH St
Miami, FL 33144-4053
Phone (305) 239-7477

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231201000120 FL Part B Supplier - Clinic/Group Practice 2163870130 Receives reassigned benefits from 4 practitioners
Practice locations: Miami, FL

National Provider Directory

National Provider Directory

Locations

13701 SW 88th St
Ste 303A
Miami, FL 33186
Phone (305) 280-3283

8512 SW 8th St
Miami, FL 33144
Phone (305) 239-7477

Practitioners & affiliated clinicians

Practitioners 4

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": "1625616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739923200000",
    "number": "1417528829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8512 SW 8TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331444053",
            "telephone_number": "305-239-7477",
            "fax_number": "786-633-5944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8512 SW 8TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331444053",
            "telephone_number": "305-239-7477",
            "fax_number": "786-633-5944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHRA MEDICAL CENTER CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-07",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "786-452-6858"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Feb 19, 2025; 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.