Preferred Care Partners Medical Group, Inc.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

PREFERRED CARE PARTNERS MEDICAL GROUP, INC.

Doing business as

Preferred Care Partners Medical Group of West Hialeah

Practice address

5355 W 20TH Ave
Hialeah, FL 33012-2100

Phone

(305) 824-5660

Fax

(305) 824-5666

NPI assigned

Oct 11, 2011

Last updated

Oct 11, 2011By the provider in NPPES

Organization subpart

Yes

Parent organization

PREFERRED CARE PARTNERS MEDICAL GROUP, INC.As reported in NPPES

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

Authorized official

Name

Mr. Joseph L Caruncho, ESQ.

Title

President

Phone

(305) 670-8440

Specialties & licenses 1

Addresses

Other names 1

• Preferred Care Partners Medical Group of West Hialeah Doing business as

Tax ID family

Preferred Care Partners Medical Group Inc5 organizations share this tax ID, including this one

Part of

Preferred Care Partners Medical Group Inc

Other organizations with this tax ID 4

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

• Preferred Care Partners Medical Group, Inc.

  dba Preferred Care Partners Medical Group of Hialeah

  • General Practice Physician
  • Hialeah, FL
  • NPI 1518241777
  NPD tax ID
• Preferred Care Partners Medical Group, Inc.

  dba Preferred Care Partners Medical Group of Red Road

  • General Practice Physician
  • Miami, FL
  • NPI 1578847638
  NPD tax ID
• Preferred Care Partners Medical Group, Inc.

  dba Preferred Care Partners Medical Group of Little Havana

  • General Practice Physician
  • Miami, FL
  • NPI 1689958829
  NPD tax ID
• Preferred Care Partners Medical Group, Inc.

  dba Preferred Care Partners Medical Group of North Shore

  • General Practice Physician
  • Miami, FL
  • NPI 1801170964
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Preferred Care Partners Medical Group Inc.

  • General Practice Physician
  • Miami, FL
  • NPI 1144467820
  NPPES parent name

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

{
    "created_epoch": "1318291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318291200000",
    "number": "1548545403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 566538",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "332566538",
            "telephone_number": "305-824-5660",
            "fax_number": "305-824-5666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5355 W 20TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330122100",
            "telephone_number": "305-824-5660",
            "fax_number": "305-824-5666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREFERRED CARE PARTNERS MEDICAL GROUP, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PREFERRED CARE PARTNERS MEDICAL GROUP, INC.",
        "enumeration_date": "2011-10-11",
        "last_updated": "2011-10-11",
        "status": "A",
        "authorized_official_last_name": "CARUNCHO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-670-8440",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ESQ."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Preferred Care Partners Medical Group of West Hialeah",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Physician in Hialeah, FL
• Providers in Hialeah, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.