Organization Active NPI

Medica Healthcare Plans, Inc.

  • Health Maintenance Organization
  • Coral Gables, FL
National Provider Identifier
1609101450
Registry record updated Jun 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
MEDICA HEALTHCARE PLANS, INC.
Practice address
4000 Ponce de Leon Blvd
650
Coral Gables, FL 33146-1431
Phone
(305) 460-0600
Fax
(305) 460-0613
NPI assigned
Oct 13, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2010

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

Authorized official

Name
Mr. Martin Perez
Title
Cfo
Phone
(305) 460-0614

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X FL Primary

Addresses

Primary practice location

4000 Ponce de Leon Blvd
650
Coral Gables, FL 33146-1431

Mailing address

4000 Ponce de Leon Blvd
650
Coral Gables, FL 33146-1431
Phone (305) 460-0600

Other identifiers 1

IdentifierTypeStateIssuer
H5420OtherFLCONTRACT ID

National Provider Directory

National Provider Directory
Tax ID family
Medica Healthcare Plans Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4000 Ponce de Leon Blvd
Ste 650
Coral Gables, FL 33146
Phone (305) 460-0600

NPI Registry JSON

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

{
    "created_epoch": "1255392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275523200000",
    "number": "1609101450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 PONCE DE LEON BLVD",
            "address_2": "650",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331461431",
            "telephone_number": "305-460-0600",
            "fax_number": "305-460-0613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 PONCE DE LEON BLVD",
            "address_2": "650",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331461431",
            "telephone_number": "305-460-0600",
            "fax_number": "305-460-0613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICA HEALTHCARE PLANS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-13",
        "last_updated": "2010-06-03",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "305-460-0614",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONTRACT ID",
            "identifier": "H5420",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2010; 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.