Organization Active NPI

Physicians Care Group Health Choice Inc.

  • Exclusive Provider Organization
  • Hialeah, FL
National Provider Identifier
1558505297
Registry record updated Apr 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
Legal business name
PHYSICIANS CARE GROUP HEALTH CHOICE INC.
Practice address
4201 Palm Ave Ste C
Hialeah, FL 33012-4424
Phone
(305) 796-3544
Fax
(305) 823-0096
NPI assigned
Apr 24, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2009

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

Authorized official

Name
Enrique Zamora
Title
President
Phone
(305) 796-3544

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X FL Primary

Addresses

Primary practice location

4201 Palm Ave Ste C
Hialeah, FL 33012-4424

Mailing address

4201 Palm Ave Ste C
Hialeah, FL 33012-4424
Phone (305) 796-3544

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1240531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240531200000",
    "number": "1558505297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 PALM AVE STE C",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330124424",
            "telephone_number": "305-796-3544",
            "fax_number": "305-823-0096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 PALM AVE STE C",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330124424",
            "telephone_number": "305-796-3544",
            "fax_number": "305-823-0096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS CARE GROUP HEALTH CHOICE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-24",
        "last_updated": "2009-04-24",
        "status": "A",
        "authorized_official_last_name": "ZAMORA",
        "authorized_official_first_name": "ENRIQUE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-796-3544"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 24, 2009; 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.