NPIMap

Organization Active NPI

Life Med Center Assoc Corp.

  • Community/Behavioral Health Agency
  • Miami, FL
National Provider Identifier
1588035794
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
LIFE MED CENTER ASSOC CORP.
Practice address
7171 Coral Way Ste 404
Miami, FL 33155-1693
Phone
(786) 762-2474
Fax
(786) 953-5613
NPI assigned
Oct 14, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Luis O Gasca, MD
Title
President
Phone
(786) 762-2474

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary
Primary Care Clinic/Center 261QP2300X FL

Addresses

Primary practice location

7171 Coral Way Ste 404
Miami, FL 33155-1693

Mailing address

434 SW 12TH Ave Ste 300
Miami, FL 33130-2433
Phone (786) 762-2474

Other practice location 1

7171 SW 24th St
Suite 404
Miami, FL 33155-1449
Phone (786) 774-9281

National Provider Directory

National Provider Directory

Locations

434 SW 12th Ave
Ste 300
Miami, FL 33130
Phone (786) 774-9281

NPI Registry JSON

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

{
    "created_epoch": "1444780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1588035794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "434 SW 12TH AVE STE 300",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331302433",
            "telephone_number": "786-762-2474",
            "fax_number": "786-953-5613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7171 CORAL WAY STE 404",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331551693",
            "telephone_number": "786-762-2474",
            "fax_number": "786-953-5613"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7171 SW 24th St",
            "address_2": "SUITE 404",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331551449",
            "country_code": "US",
            "telephone_number": "786-774-9281",
            "fax_number": "786-502-8590",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LIFE MED CENTER ASSOC CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-14",
        "last_updated": "2022-07-21",
        "certification_date": "2020-03-24",
        "status": "A",
        "authorized_official_last_name": "GASCA",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-762-2474",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 21, 2022; 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.