Organization Active NPI

Miramar Primary Care Center LLC

  • Primary Care Clinic/Center
  • Miramar, FL
National Provider Identifier
1508146101
Registry record updated Oct 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
ME51638 Issued in FL
Legal business name
MIRAMAR PRIMARY CARE CENTER LLC
Practice address
3220 S Douglas Rd
Suite a
Miramar, FL 33025-2734
Phone
(954) 433-9923
Fax
(954) 450-0537
NPI assigned
Aug 26, 2011
Last updated
Oct 13, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2011

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

Authorized official

Name
Dr. Fernando De Jesus Sanchez, M.D.NPI 1699730648
Title
MBR
Phone
(305) 628-4600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X ME51638 FL Primary

Addresses

Primary practice location

3220 S Douglas Rd
Suite a
Miramar, FL 33025-2734

Mailing address

18300 NW 62ND Ave
Suite 300
Hialeah, FL 33015-8200
Phone (305) 628-4600

National Provider Directory

National Provider Directory

Locations

3220 S Douglas Rd
#A
Miramar, FL 33025
Phone (954) 433-9923

Practitioners & affiliated clinicians

Practitioners 1

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": "1314316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318464000000",
    "number": "1508146101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18300 NW 62ND AVE",
            "address_2": "SUITE 300",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330158200",
            "telephone_number": "305-628-4600",
            "fax_number": "305-628-8090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3220 S DOUGLAS RD",
            "address_2": "SUITE A",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330252734",
            "telephone_number": "954-433-9923",
            "fax_number": "954-450-0537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRAMAR PRIMARY CARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-26",
        "last_updated": "2011-10-13",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ",
        "authorized_official_first_name": "FERNANDO",
        "authorized_official_middle_name": "DE JESUS",
        "authorized_official_title_or_position": "MBR",
        "authorized_official_telephone_number": "305-628-4600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ME51638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miramar, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2011; 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.