Active NPI
Prime Care of South Dade
- Clinic/Center
- Miami, FL
National Provider Identifier
1437789872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.