Organization Active NPI

Med Life Medical Services Inc

  • General Practice Physician
  • Miami, FL
National Provider Identifier
1447824107
Registry record updated May 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
MED LIFE MEDICAL SERVICES INC
Practice address
8260 W Flagler St Ste 2M
Miami, FL 33144-2069
Phone
(786) 580-3897
Fax
(786) 452-8599
NPI assigned
May 18, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2021

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

Authorized official

Name
Lesmy Jacomino
Title
Owner
Phone
(786) 580-3897

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

8260 W Flagler St Ste 2M
Miami, FL 33144-2069

Mailing address

8260 W Flagler St Ste 2M
Miami, FL 33144-2069
Phone (786) 580-3897

Other identifiers 1

IdentifierTypeStateIssuer
102179000MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Med Life Medical Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8260 W Flagler St
Ste 2M
Miami, FL 33144
Phone (305) 559-4599

NPI Registry JSON

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

{
    "created_epoch": "1621296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621296000000",
    "number": "1447824107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8260 W FLAGLER ST STE 2M",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331442069",
            "telephone_number": "786-580-3897",
            "fax_number": "786-452-8599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8260 W FLAGLER ST STE 2M",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331442069",
            "telephone_number": "786-580-3897",
            "fax_number": "786-452-8599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED LIFE MEDICAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-18",
        "last_updated": "2021-05-18",
        "certification_date": "2021-05-18",
        "status": "A",
        "authorized_official_last_name": "JACOMINO",
        "authorized_official_first_name": "LESMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-580-3897"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102179000",
            "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 18, 2021; 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.