Organization Active NPI

Erick Unlimited II LLC

Doing business as UniVida Medical Center

  • Clinic/Center
  • Hialeah, FL
National Provider Identifier
1528819455
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
ERICK UNLIMITED II LLC
Doing business as
UniVida Medical Center
Practice address
4526 Palm Ave
Hialeah, FL 33012-4034
Phone
(786) 600-7560
Fax
(786) 643-5503
NPI assigned
Mar 28, 2024
Last updated
Mar 28, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2024

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

Authorized official

Name
Mr. Erick Castro
Title
Owner
Phone
(786) 447-2391

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

4526 Palm Ave
Hialeah, FL 33012-4034

Mailing address

4526 Palm Ave
Hialeah, FL 33012-4034
Phone (786) 600-7560

Other names 1

  • UniVida Medical Center Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2298135Erick Unlimited II LLC Dba4526 Palm Ave, Hialeah, FL 33012Certificate of waiverJan 28, 2028

National Provider Directory

National Provider Directory
Tax ID family
Erick Unlimited II 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.

Networks

  • HealthSun Health Plans Network

NPI Registry JSON

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

{
    "created_epoch": "1711584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711584000000",
    "number": "1528819455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4526 PALM AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330124034",
            "telephone_number": "786-600-7560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4526 PALM AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330124034",
            "telephone_number": "786-600-7560",
            "fax_number": "786-643-5503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERICK UNLIMITED II LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-28",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A",
        "authorized_official_last_name": "CASTRO",
        "authorized_official_first_name": "ERICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-447-2391",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UniVida Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.