Organization Active NPI

C&C Medical Center Inc.

  • Rehabilitation Clinic/Center
  • Hialeah, FL
National Provider Identifier
1659633188
Registry record updated Jun 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
License
MA66278 Issued in FL
Legal business name
C&C MEDICAL CENTER INC.
Practice address
7100 W 20TH Ave Ste 412
Hialeah, FL 33016-1811
Phone
(305) 819-6353
NPI assigned
Jun 11, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2014

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

Authorized official

Name
Mrs. Milagros Torres, MA 66278
Title
Owner
Phone
(305) 819-6353

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X MA66278 FL Primary

Addresses

Primary practice location

7100 W 20TH Ave Ste 412
Hialeah, FL 33016-1811

Mailing address

7100 W 20TH Ave
Suite 412
Hialeah, FL 33016-1811
Phone (305) 819-6353

Other identifiers 1

IdentifierTypeStateIssuer
96857OtherFLBCBSF

Other names 1

  • C&C MEDICAL CENTER INC. Former legal business name

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2317427Biobrilliance Medical & Research Center Inc7100 W 20TH Ave Suite #305, Hialeah, FL 33016Certificate of waiverJan 23, 2027

National Provider Directory

National Provider Directory

Locations

7100 W 20th Ave
Ste 412
Hialeah, FL 33016
Phone (305) 820-0006

NPI Registry JSON

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

{
    "created_epoch": "1339372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402963200000",
    "number": "1659633188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 W 20TH AVE",
            "address_2": "SUITE 412",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330161811",
            "telephone_number": "305-819-6353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 W 20TH AVE STE 412",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330161811",
            "telephone_number": "305-819-6353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C&C MEDICAL CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-11",
        "last_updated": "2014-06-17",
        "status": "A",
        "authorized_official_last_name": "TORRES",
        "authorized_official_first_name": "MILAGROS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-819-6353",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA 66278"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "FL",
            "license": "MA66278",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSF",
            "identifier": "96857",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "C&C MEDICAL CENTER INC.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.