Miami Primary Healthcare LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

MIAMI PRIMARY HEALTHCARE LLC

Practice address

1275 W 47TH PL Ste 307
Hialeah, FL 33012-3447

Phone

(786) 722-0999

Fax

(786) 349-9000

NPI assigned

May 9, 2021

Organization subpart

No

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

Authorized official

Name

Jose A Vergara, APRNNPI 1154617454

Title

MNG

Phone

(305) 333-8623

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Networks

• HealthSun Health Plans Network

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jose A Vergara, ARNP

  • Family Nurse Practitioner
  • Hialeah, FL
  • NPI 1154617454
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1620518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620518400000",
    "number": "1568046282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7375 W 18TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330143710",
            "telephone_number": "305-333-8623",
            "fax_number": "786-349-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 W 47TH PL STE 307",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123447",
            "telephone_number": "786-722-0999",
            "fax_number": "786-349-9000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1275 W 47th Pl",
            "address_purpose": "LOCATION",
            "city": "Hialeah",
            "state": "FL",
            "postal_code": "330123394",
            "country_code": "US",
            "telephone_number": "786-722-0999",
            "fax_number": "786-349-9000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MIAMI PRIMARY HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-09",
        "last_updated": "2021-05-09",
        "certification_date": "2021-05-09",
        "status": "A",
        "authorized_official_last_name": "VERGARA",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MNG",
        "authorized_official_telephone_number": "305-333-8623",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miami Medical Services Inc
• Miami Nutition Catering Inc
• Miami Orthotic & Medical Supplies Inc
• Miami Pharmacy Inc
• Miami Primary Healthcare
• Miami Senior Adult Day Care Center, LLC
• Miami Smile Studio Corporation
• Miami Solution Center Corp
• Miami Vip Medical Corp
• Miami-Dade Physical Rehabilitation, Inc.

• Family Nurse Practitioner in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2021; 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.