Organization Active NPI

Clinical Care Center, Inc.

  • General Practice Physician
  • Miami, FL
National Provider Identifier
1457634115
Registry record updated Nov 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
CLINICAL CARE CENTER, INC.
Practice address
11200 W. Flagler St.
Suites 101-107
Miami, FL 33174-4210
Phone
(305) 370-3838
Fax
(305) 220-3466
NPI assigned
Sep 20, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2019

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

Authorized official

Name
Mr. Antonio Diaz
Title
President
Phone
(786) 631-4336

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

11200 W. Flagler St.
Suites 101-107
Miami, FL 33174-4210

Mailing address

2121 SW 3Rd Ave
Suite 500
Miami, FL 33129
Phone (786) 631-4336

National Provider Directory

National Provider Directory

Locations

11200 W Flagler St
#101107
Miami, FL 33174
Phone (305) 370-3800

11200 W Flagler St
Ste 101107
Miami, FL 33174
Phone (305) 370-3838

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1316476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572998400000",
    "number": "1457634115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 SW 3RD AVE",
            "address_2": "SUITE 500",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33129",
            "telephone_number": "786-631-4336",
            "fax_number": "305-631-2806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11200 W. FLAGLER ST.",
            "address_2": "SUITES 101-107",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331744210",
            "telephone_number": "305-370-3838",
            "fax_number": "305-220-3466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL CARE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-20",
        "last_updated": "2019-11-06",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-631-4336",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "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 Nov 6, 2019; 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.