Organization Active NPI

Miami Childrens Health Plan

  • Health Maintenance Organization
  • Miami, FL
National Provider Identifier
1578039764
Registry record updated Oct 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
MIAMI CHILDRENS HEALTH PLAN
Practice address
5775 Blue Lagoon Dr Ste 230
Miami, FL 33126-7012
Phone
(786) 624-2668
NPI assigned
Oct 16, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2018

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

Authorized official

Name
Mr. Jose Camps
Title
Chief Compliance Officer
Phone
(786) 624-2668

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X Primary

Addresses

Primary practice location

5775 Blue Lagoon Dr Ste 230
Miami, FL 33126-7012

Mailing address

3100 SW 62ND Ave
Miami, FL 33155-3009
Phone (786) 624-2668

Other names 1

  • Miami Childrens Health Plan Doing business as

National Provider Directory

National Provider Directory

Locations

5775 Blue Lagoon Dr
Ste 230
Miami, FL 33126
Phone (786) 624-2668

NPI Registry JSON

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

{
    "created_epoch": "1539648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539648000000",
    "number": "1578039764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 SW 62ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331553009",
            "telephone_number": "786-624-2668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5775 BLUE LAGOON DR STE 230",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331267012",
            "telephone_number": "786-624-2668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIAMI CHILDRENS HEALTH PLAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-16",
        "last_updated": "2018-10-16",
        "status": "A",
        "authorized_official_last_name": "CAMPS",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "CHIEF COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "786-624-2668",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Miami Childrens Health Plan",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2018; 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.