Access Medical Group of Perrine, LLC.
Organization Active NPI Family Medicine Physician · Miami, FL
NPI 1578845129 · NPPES record last updated May 25, 2023
Key facts
- NPI
- 1578845129
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- ACCESS MEDICAL GROUP OF PERRINE, LLC.
- Practice address
- 12376 Quail Roost Dr
Miami, FL 33177-4974 - Phone
- (786) 237-3070
- Fax
- (786) 430-8198
- NPI assigned
- Sep 9, 2011
- Organization subpart
- No
Authorized official
- Name
- Mr. Rayny Ramirez
- Title
- President
- Phone
- (786) 322-7333
Member of 6
Member organizations 5
Practitioners 25
-
Juan Antonio Cruz, M.D.
-
Adalberto Machin Leon, APRN
-
Jesus G Noguer, MD
-
Luis Ramirez, APRN
-
Regla Maria Casola, APRN
-
Andres Hernandez I, APRN
-
Caridad Sol Loeffler, FNP-BC, ARNP
-
Anisia Otero, MD
-
Tomas A. Ramirez, ARNP
-
Armando Ramon Calas Jardines, APRN, NP-C
-
Midiala E Diaz, MD
-
Mairelys Gonzalez Bosch, M.D.
-
Juana Maria Gutierrez, M.D.
-
Leydis Morono, M.D
-
Miriela Rieumont, APRN
-
Kailen Rivero Marrero, APRN9453864
-
Lizbett Rodriguez-Varona, ARNP,NP-C
-
Rafael Rosales Perez, FNP
-
Geniel Alberto Diaz, APRN
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2080784 | Access Medical Group of Perrine Inc | Certificate of waiver | Jul 14, 2028 |
| 10D2149273 | Access Medical Group of Perrine, Inc | Certificate of waiver | May 29, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130514000616 | FL | Part B Supplier - Clinic/Group Practice | 4082851811 |
Receives reassigned benefits from 10 practitioners Practice locations: Miami, FL |
National Provider Directory
Locations
14285 SW 42nd St
Ste 207
Miami, FL 33175
14223 SW 42nd St
Ste 205
Miami, FL 33175
12376 Quail Roost Dr
#80
Miami, FL 33177
20001 SW 127th Ave
Miami, FL 33177
Phone (305) 406-2069
14285 SW 42nd St
Ste 206
Miami, FL 33175
12376 Quail Roost Dr
Miami, FL 33177
Phone (786) 237-3070
11645 Biscayne Blvd
Ste 401
North Miami, FL 33181
Networks
- HealthSun Health Plans Network
Interoperability endpoints
- cmgperrine.medicare@cmg.eclinicaldirectplus.com
- cmgperrine.pediatric@cmg.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
12376 Quail Roost Dr
Miami, FL 33177-4974
Mailing address
6100 Blue Lagoon Dr
Suite 365
Miami, FL 33126-2079
Phone (786) 322-7333
Other practice location 1
12320 Quail Roost Dr
Miami, FL 33177-4930
Phone (786) 623-0994
Other practice location 2
20001 SW 127th Ave
Miami, FL 33177-5118
Phone (305) 406-2069
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009426803 | Medicaid | FL | |
| 009426800 | Medicaid | FL |
Other names
- COMMUNITY MEDICAL GROUP
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cmgperrine.adult@cmg.eclinicaldirectplus.com | Health Information Exchange (HIE) | |
| Direct Messaging Address | cmgperrine.pediatric@cmg.eclinicaldirectplus.com | Health Information Exchange (HIE) | |
| Direct Messaging Address | cmgperrine.medicare@cmg.eclinicaldirectplus.com | Health Information Exchange (HIE) |
Other providers in Miami, FL
- Access Home Health Service Corp
- Access Med Supply LLC
- Access Medical Group of Kendall, LLC.
- Access Medical Group of Miami Medicare, LLC
- Access Medical Group of Miami, LLC.
- Access Medical Group of Westchester, LLC.
- Access Program, Inc.
- Access Psychiatry LLC
- Accident Clinical Center
- Acclaim Home Healthcare Inc
All providers in Miami, FL · Family Medicine Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 25, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.