NPIMap

Organization Active NPI

Integrated Comprehensive Urgent Care, LLC.

  • General Practice Physician
  • Hialeah, FL
National Provider Identifier
1568069441
Registry record updated Mar 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
INTEGRATED COMPREHENSIVE URGENT CARE, LLC.
Practice address
3595 W 20TH Ave Ste 130
Hialeah, FL 33012-4537
Phone
(786) 850-4282
Fax
(305) 598-8796
NPI assigned
Oct 5, 2020
Last updated
Mar 30, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2026

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

Authorized official

Name
Elizabeth Braceras
Title
President
Phone
(305) 863-8860

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Infusion Therapy Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WI0500X
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X
Rheumatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RR0500X
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213E00000X
Infusion Therapy Clinic/Center 261QI0500X

Addresses

Primary practice location

3595 W 20TH Ave Ste 130
Hialeah, FL 33012-4537

Mailing address

780 NW 42ND Ave Ste 301
Miami, FL 33126-5536
Phone (786) 875-4282

Other practice location 1

8700 N Kendall Dr Ste 100
Entrance B
Miami, FL 33176-2206
Phone (786) 875-4282

Other practice location 2

2237 SW 19th Avenue Rd Ste B
Ocala, FL 34471-7751
Phone (352) 830-6087

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210316000458 FL Part B Supplier - Clinic/Group Practice 4284040353 Receives reassigned benefits from 17 practitioners
1 other NPI on this enrollment
Practice locations: Miami, FL; Hialeah, FL

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

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
10D2202672Integrated Comprehensive Urgent Care LLC3595 West 20TH Avenue Suite 130, Hialeah, FL 33012Certificate of waiverNov 29, 2026

National Provider Directory

National Provider Directory
Tax ID family
Integrated Comprehensive Urgent Care 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

3595 W 20th Ave
Ste 103
Hialeah, FL 33012

780 NW 42nd Ave
Ste S301
Miami, FL 33126

8700 N Kendall Dr
Ste 100B
Miami, FL 33176

9400 NW 12th Ave
#6
Miami, FL 33150
Phone (305) 779-0040

2237 SW 19th Avenue Rd
Ste B
Ocala, FL 34471
Phone (352) 830-6087

Practitioners & affiliated clinicians

Practitioners 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1601856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774828800000",
    "number": "1568069441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 NW 42ND AVE STE 301",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331265536",
            "telephone_number": "786-875-4282",
            "fax_number": "305-317-6130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3595 W 20TH AVE STE 130",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330124537",
            "telephone_number": "786-850-4282",
            "fax_number": "305-598-8796"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8700 N Kendall Dr Ste 100",
            "address_2": "Entrance B",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331762206",
            "country_code": "US",
            "telephone_number": "786-875-4282",
            "fax_number": "305-317-6130",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2237 SW 19th Avenue Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Ocala",
            "state": "FL",
            "postal_code": "344717751",
            "country_code": "US",
            "telephone_number": "352-830-6087",
            "fax_number": "352-830-6089",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INTEGRATED COMPREHENSIVE URGENT CARE, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-05",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A",
        "authorized_official_last_name": "BRACERAS",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-863-8860"
    },
    "taxonomies": [
        {
            "code": "163WI0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Mar 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.