NPIMap

Organization Active NPI

Clinic and Research Center LLC

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Miami, FL
National Provider Identifier
1508590977
Registry record updated Oct 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
Legal business name
CLINIC AND RESEARCH CENTER LLC
Practice address
4790 NW 7TH St Ste 102
Miami, FL 33126-2200
Phone
(786) 803-8550
Fax
(786) 803-8370
NPI assigned
Jul 12, 2022
Last updated
Oct 18, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2022

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

Authorized official

Name
Zuleika Hernandez
Title
Owner
Phone
(786) 803-8550

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X NU
Family Medicine Physician 207Q00000X NU
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X NU Primary

Addresses

Primary practice location

4790 NW 7TH St Ste 102
Miami, FL 33126-2200

Mailing address

4790 NW 7TH St Ste 102
Miami, FL 33126-2200
Phone (786) 803-8550

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220420000483 FL Part B Supplier - Clinic/Group Practice 3375930498 Receives reassigned benefits from 4 practitioners
Practice locations: Hialeah, FL; Miami, FL; Fort Myers, FL

National Provider Directory

National Provider Directory
Tax ID family
Clinic and Research Center LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

5548 SW 8th St
Coral Gables, FL 33134
Phone (305) 613-7761

2665 Cleveland Ave
Ste 104
Fort Myers, FL 33901
Phone (754) 201-5757

Practitioners & affiliated clinicians

Practitioners 4

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": "1657584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666051200000",
    "number": "1508590977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4790 NW 7TH ST STE 102",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331262200",
            "telephone_number": "786-803-8550",
            "fax_number": "786-803-8370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4790 NW 7TH ST STE 102",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331262200",
            "telephone_number": "786-803-8550",
            "fax_number": "786-803-8370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINIC AND RESEARCH CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-12",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "ZULEIKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-803-8550"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "NU",
            "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 Oct 18, 2022; 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.