Air Base Medical Center LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

AIR BASE MEDICAL CENTER LLC

Practice address

12803 SW 280TH St
Homestead, FL 33032-8552

Phone

(786) 504-3022

Fax

(786) 504-3092

NPI assigned

Oct 1, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Carmen Morales, APRNNPI 1538620463

Title

MGR

Phone

(786) 504-3022

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• Carmen Morales, ARNP

  • Family Nurse Practitioner
  • Homestead, FL
  • NPI 1538620463
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1633046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666051200000",
    "number": "1588336051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20753 SW 128TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331775518",
            "telephone_number": "305-342-4083",
            "fax_number": "786-504-3092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12803 SW 280TH ST",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330328552",
            "telephone_number": "786-504-3022",
            "fax_number": "786-504-3092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AIR BASE MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-01",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A",
        "authorized_official_last_name": "MORALES",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "786-504-3022",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel Oscar Aguirre Fabra
• Karylia Aguirre Pedrosa
• Yaremi Aguirre Perez
• Dayani Aguirre, MS,CCC-SLP / BCBA
• AIDS Healthcare Foundation
• Alexander Matthew Ajan Paneque
• Mailen Ajo
• Ajr Management Group, Inc.
• Saima Akter
• Al Health Care Group Inc

• Family Medicine Physician in Homestead, FL
• Providers in Homestead, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2022; 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.