Organization Active NPI

Prime Care of South Dade

  • Clinic/Center
  • Miami, FL
National Provider Identifier
1437789872
Registry record updated Jan 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
PRIME CARE OF SOUTH DADE
Practice address
14150 SW 119TH Ave
Miami, FL 33186-6012
Phone
(786) 709-9362
NPI assigned
Jan 24, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2020

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

Authorized official

Name
Rafael M Garcia, MD
Title
MD
Phone
(786) 709-9362

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

14150 SW 119TH Ave
Miami, FL 33186-6012

Mailing address

7765 NW 48TH St Ste 300
Doral, FL 33166-5404
Phone (305) 442-1740

National Provider Directory

National Provider Directory

Locations

14150 SW 119th Ave
Miami, FL 33186
Phone (786) 709-9362

NPI Registry JSON

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

{
    "created_epoch": "1579824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579824000000",
    "number": "1437789872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7765 NW 48TH ST STE 300",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331665404",
            "telephone_number": "305-442-1740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14150 SW 119TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331866012",
            "telephone_number": "786-709-9362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME CARE OF SOUTH DADE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-24",
        "last_updated": "2020-01-24",
        "certification_date": "2020-01-24",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "786-709-9362",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "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 Jan 24, 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.