Coverall Medical Center Corp

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

COVERALL MEDICAL CENTER CORP

Practice address

61 Hook SQ
Miami Springs, FL 33166-4401

Phone

(305) 884-8880

Fax

(786) 866-5984

NPI assigned

Sep 25, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Gladys L Andrade, MDNPI 1740545201

Title

Owner

Phone

(305) 884-8880

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gladys Lizzette Andrade, M.D.

  • General Practice Physician
  • Hollywood, FL
  • NPI 1740545201
  Medicare reassignment NPD Authorized official
• Hector Barroso Reina, APRN - FNP

  • Family Nurse Practitioner
  • Hialeah, FL
  • NPI 1083375786
  Medicare reassignment NPD
• Lizbet Aquino, RPH

  • Pharmacist
  • Miami, FL
  • NPI 1659968048
  NPD

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

{
    "created_epoch": "1380067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405900800000",
    "number": "1427484112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 HOOK SQ",
            "city": "MIAMI SPRINGS",
            "state": "FL",
            "postal_code": "331664401",
            "telephone_number": "305-884-8880",
            "fax_number": "786-866-5984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 HOOK SQ",
            "city": "MIAMI SPRINGS",
            "state": "FL",
            "postal_code": "331664401",
            "telephone_number": "305-884-8880",
            "fax_number": "786-866-5984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVERALL MEDICAL CENTER CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-25",
        "last_updated": "2014-07-21",
        "status": "A",
        "authorized_official_last_name": "ANDRADE",
        "authorized_official_first_name": "GLADYS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-884-8880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009655600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Claudia Gabriela Cisneros I
• Maria Conover, PHARMD
• Elizabeth Susan Corey
• Norma B Cornejo, MD
• Marcia Corral Gonzalez
• Danielle Cox
• Susana Crespo Bravo
• Maria Crespo-Hazard
• Yahima Crespo
• Dade Pharmacy Inc

• Clinic/Center in Miami Springs, FL
• Providers in Miami Springs, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.