Organization Active NPI

Universal Medical Institute

Doing business as UMC Free Clinic

  • Clinic/Center
  • Miami, FL
National Provider Identifier
1639750458
Registry record updated Mar 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
UNIVERSAL MEDICAL INSTITUTE
Doing business as
UMC Free Clinic
Practice address
700 NW 183Rd St Ste B
Miami, FL 33169-4250
Phone
(305) 974-5995
NPI assigned
Apr 15, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2023

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

Authorized official

Name
Dima Samra
Title
Clinical Operations Coordinator
Phone
(305) 974-5995

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary
Community Health Clinic/Center 261QC1500X

Addresses

Primary practice location

700 NW 183Rd St Ste B
Miami, FL 33169-4250

Mailing address

700 NW 183Rd St Ste B
Miami, FL 33169-4250
Phone (305) 974-5995

Other names 1

  • UMC Free Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

99 NW 183rd St
Ste 133A
Miami, FL 33169

700 NW 183rd St
Ste B
Miami, FL 33169
Phone (305) 974-5995

NPI Registry JSON

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

{
    "created_epoch": "1618444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678233600000",
    "number": "1639750458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 NW 183RD ST STE B",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331694250",
            "telephone_number": "305-974-5995",
            "fax_number": "305-974-5957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 NW 183RD ST STE B",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331694250",
            "telephone_number": "305-974-5995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSAL MEDICAL INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-15",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A",
        "authorized_official_last_name": "SAMRA",
        "authorized_official_first_name": "DIMA",
        "authorized_official_title_or_position": "CLINICAL OPERATIONS COORDINATOR",
        "authorized_official_telephone_number": "305-974-5995"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UMC Free Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "UMC Free Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 8, 2023; 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.