NPIMap

Organization Active NPI

Trucare Medical Center LLC

  • Internal Medicine Physician
  • Plantation, FL
National Provider Identifier
1467108142
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
TRUCARE MEDICAL CENTER LLC
Practice address
201 NW 82ND Ave Ste 305
Plantation, FL 33324-1855
Phone
(954) 533-8353
Fax
(954) 533-8230
NPI assigned
Feb 22, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2024

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

Authorized official

Name
Giezy Sardinas, MDNPI 1760794556
Title
Owner
Phone
(954) 533-8353

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Hospitalist PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208M00000X

Addresses

Primary practice location

201 NW 82ND Ave Ste 305
Plantation, FL 33324-1855

Mailing address

201 NW 82ND Ave Ste 305
Plantation, FL 33324-1855
Phone (954) 533-8353

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221130000908 FL Part B Supplier - Clinic/Group Practice 0749658482 Receives reassigned benefits from 11 practitioners
Practice locations: Lauderdale Lakes, FL; Sunrise, FL; Plantation, FL; Miami Lakes, FL; Clewiston, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 11

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": "1645488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733961600000",
    "number": "1467108142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 NW 82ND AVE STE 305",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333241855",
            "telephone_number": "954-533-8353",
            "fax_number": "954-533-8230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 NW 82ND AVE STE 305",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333241855",
            "telephone_number": "954-533-8353",
            "fax_number": "954-533-8230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUCARE MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-22",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A",
        "authorized_official_last_name": "SARDINAS",
        "authorized_official_first_name": "GIEZY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-533-8353",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.