Active NPI
Management Care LLC
- General Practice Physician
- Hollywood, FL
National Provider Identifier
1639734148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- MANAGEMENT CARE LLC
- Practice address
- 7900 NW 33Rd St Ste 103
Hollywood, FL 33024-2209 - Phone
- (954) 962-5300
- Fax
- (954) 962-0100
- NPI assigned
- May 9, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marta Rosa Fernandez
- Title
- Owner
- Phone
- (954) 549-3309
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
7900 NW 33Rd St Ste 103
Hollywood, FL 33024-2209
Mailing address
7900 NW 33Rd St Ste 103
Hollywood, FL 33024-2209
Phone (954) 962-5300
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | rpontiles@yahoo.com |
National Provider Directory
National Provider DirectoryLocations
7900 NW 33rd St
Ste 103
Hollywood, FL 33024
Phone (954) 962-5300
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Physician
- Hollywood, FL
- NPI 1780666750
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557360000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1585872000000",
"number": "1639734148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7900 NW 33RD ST STE 103",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330242209",
"telephone_number": "954-962-5300",
"fax_number": "954-962-0100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7900 NW 33RD ST STE 103",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330242209",
"telephone_number": "954-962-5300",
"fax_number": "954-962-0100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MANAGEMENT CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-05-09",
"last_updated": "2020-04-03",
"certification_date": "2020-04-03",
"status": "A",
"authorized_official_last_name": "FERNANDEZ",
"authorized_official_first_name": "MARTA",
"authorized_official_middle_name": "ROSA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "954-549-3309"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "rpontiles@yahoo.com",
"affiliation": "N",
"endpointDescription": "Email",
"address_1": "7900 NW 33rd St Ste 103",
"city": "Hollywood",
"state": "FL",
"country_code": "US",
"postal_code": "330242209",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Hollywood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.