Active NPI
Master Health Care Center LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Miami, FL
National Provider Identifier
1669157954
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- MASTER HEALTH CARE CENTER LLC
- Practice address
- 85 Grand Canal Dr
Ste 203
Miami, FL 33144 - Phone
- (786) 536-7819
- Fax
- (786) 536-7661
- NPI assigned
- Jun 15, 2023
- Last updated
- Dec 30, 2024
- 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
- Orisbel Madruga
- Title
- Ceo
- Phone
- (305) 763-7202
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary | ||
| Case Manager/Care Coordinator | 171M00000X | |||
| Community/Behavioral Health Agency | 251S00000X |
Addresses
Primary practice location
85 Grand Canal Dr
Ste 203
Miami, FL 33144
Mailing address
85 Grand Canal Dr
Ste 203
Miami, FL 33144-3013
Phone (786) 536-7816
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 118505600 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
85 Grand Canal Dr
Ste 203
Miami, FL 33144
Phone (305) 882-9383
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Family Nurse Practitioner
- Miami, FL
- NPI 1407454838
-
- Psychiatry Physician
- Miami, FL
- NPI 1366949737
-
- Mental Health Counselor
- Miami, FL
- NPI 1972918795
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686787200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1735516800000",
"number": "1669157954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "85 GRAND CANAL DR",
"address_2": "STE 203",
"city": "MIAMI",
"state": "FL",
"postal_code": "331443013",
"telephone_number": "786-536-7816",
"fax_number": "786-536-7661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "85 GRAND CANAL DR",
"address_2": "STE 203",
"city": "MIAMI",
"state": "FL",
"postal_code": "33144",
"telephone_number": "786-536-7819",
"fax_number": "786-536-7661"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MASTER HEALTH CARE CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-15",
"last_updated": "2024-12-30",
"certification_date": "2024-12-30",
"status": "A",
"authorized_official_last_name": "MADRUGA",
"authorized_official_first_name": "ORISBEL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "305-763-7202"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"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": true
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "118505600",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
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 Dec 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.