Active NPI
Trinity Community Health Center, LLC.
- Family Medicine Physician
- Miramar, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- TRINITY COMMUNITY HEALTH CENTER, LLC.
- Doing business as
- Trinity Community Health Center, LLC
- Practice address
- 3156 S University Dr
Miramar, FL 33025-3001 - Phone
- (786) 234-2519
- Fax
- (786) 590-1903
- NPI assigned
- Jan 27, 2021
- Last updated
- May 10, 2023
- 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
- Jean Claude Medina, AP-APRN
- Title
- Advanced Practice Registered Nurse
- Phone
- (754) 217-3929
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Sports Medicine (Family Medicine) Physician | 207QS0010X | |||
| Community Health Clinic/Center | 261QC1500X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | |||
| Primary Care Clinic/Center | 261QP2300X | |||
| Family Nurse Practitioner | 363LF0000X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | |||
| Primary Care Nurse Practitioner | 363LP2300X |
Addresses
Primary practice location
3156 S University Dr
Miramar, FL 33025-3001
Mailing address
3156 S University Dr
Miramar, FL 33025-3001
Phone (754) 217-3929
Other names 1
- TRINITY COMMUNITY HEALTH CENTER, LLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2263442 | Trinity Community Health Center LLC | Certificate of waiver | Jun 27, 2028 |
National Provider Directory
National Provider DirectoryLocations
3156 S University Dr
Miramar, FL 33025
Phone (754) 217-3929
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Primary Care Nurse Practitioner
- Miramar, FL
- NPI 1427400720
Psychiatric/Mental Health
-
- Nurse Practitioner
- Miramar, FL
- NPI 1235683822
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611705600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1683676800000",
"number": "1669063236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3156 S UNIVERSITY DR",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "330253001",
"telephone_number": "754-217-3929",
"fax_number": "754-217-3931"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3156 S UNIVERSITY DR",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "330253001",
"telephone_number": "786-234-2519",
"fax_number": "786-590-1903"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRINITY COMMUNITY HEALTH CENTER, LLC.",
"organizational_subpart": "NO",
"enumeration_date": "2021-01-27",
"last_updated": "2023-05-10",
"certification_date": "2023-05-10",
"status": "A",
"authorized_official_last_name": "MEDINA",
"authorized_official_first_name": "JEAN",
"authorized_official_middle_name": "CLAUDE",
"authorized_official_title_or_position": "ADVANCED PRACTICE REGISTERED NURSE",
"authorized_official_telephone_number": "754-217-3929",
"authorized_official_credential": "AP-APRN"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207QS0010X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Sports Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QC1500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Community Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Primary Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "TRINITY COMMUNITY HEALTH CENTER, LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Miramar, FL
- Steve D. Tran, M.D.
- Transcend Therapy Services
- Archie R. Traynor, D.O.
- Stephanie Trevisan, AA-C
- Tri County Medical Supply Inc
- Trinity Health Care Services, LLC
- Trinity Health Care Services, LLC
- Trinity Healthcare Services LLC
- Trinity Home Health Services, Inc. (Trinity OB Solutions)
- Trinity Mental Health Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2023; 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.