Organization Active NPI

Felcas Health Center Inc

  • Family Medicine Physician
  • Miami, FL
National Provider Identifier
1447491402
Registry record updated May 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME81313 Issued in FL
Legal business name
FELCAS HEALTH CENTER INC
Practice address
10661 N Kendall Dr
112
Miami, FL 33176-8709
Phone
(305) 598-6224
Fax
(305) 598-6339
NPI assigned
Mar 20, 2009
Last updated
May 29, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2012

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

Authorized official

Name
Carlos Martin
Title
President
Phone
(305) 598-6224

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X ME81313 FL Primary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X ME106122 FL
Foot & Ankle Surgery PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213ES0103X PO2683 FL

Addresses

Primary practice location

10661 N Kendall Dr
112
Miami, FL 33176-8709

Mailing address

10661 N Kendall Dr
112
Miami, FL 33176-8709
Phone (305) 598-6224

Other identifiers 5

IdentifierTypeStateIssuer
001426800MedicaidFL
0003EOtherFLBCBSFL
1024561OtherFLJMH
3052273OtherFLUNITED HEALTHCARE
4752389OtherFLCIGNA

National Provider Directory

National Provider Directory

Locations

10661 N Kendall Dr
Ste 112
Miami, FL 33176
Phone (305) 598-6224

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1237507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338249600000",
    "number": "1447491402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10661 N KENDALL DR",
            "address_2": "112",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331768709",
            "telephone_number": "305-598-6224",
            "fax_number": "305-598-6339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10661 N KENDALL DR",
            "address_2": "112",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331768709",
            "telephone_number": "305-598-6224",
            "fax_number": "305-598-6339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FELCAS HEALTH CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-20",
        "last_updated": "2012-05-29",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-598-6224"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME81313",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME106122",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO2683",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001426800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSFL",
            "identifier": "0003E",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JMH",
            "identifier": "1024561",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "3052273",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "4752389",
            "state": "FL"
        }
    ],
    "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 May 29, 2012; 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.