Active NPI
Preventive and Primary Care Medical Center Inc
- General Practice Physician
- Miami, FL
National Provider Identifier
1669742003
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- PREVENTIVE AND PRIMARY CARE MEDICAL CENTER INC
- Practice address
- 10250 SW 56TH St
Suite C101
Miami, FL 33165-7069 - Phone
- (786) 558-8901
- Fax
- (786) 558-8917
- NPI assigned
- Jan 2, 2012
- 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
- Mrs. Magalis Villalba
- Title
- Co-Owner
- Phone
- (786) 558-8901
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
10250 SW 56TH St
Suite C101
Miami, FL 33165-7069
Mailing address
10250 SW 56TH St
Suite C101
Miami, FL 33165-7069
Phone (786) 558-8901
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
10250 SW 56th St
Ste C101
Miami, FL 33165
Phone (786) 558-8901
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Physician
- Miami, FL
- NPI 1265472468
-
- Family Nurse Practitioner
- Miami, FL
- NPI 1669025904
-
- General Practice Physician
- Homestead, FL
- NPI 1811971609
-
- Internal Medicine Physician
- Tallahassee, FL
- NPI 1760941959
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1325462400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1665014400000",
"number": "1669742003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10250 SW 56TH ST",
"address_2": "SUITE C101",
"city": "MIAMI",
"state": "FL",
"postal_code": "331657069",
"telephone_number": "786-558-8901",
"fax_number": "786-558-8917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10250 SW 56TH ST",
"address_2": "SUITE C101",
"city": "MIAMI",
"state": "FL",
"postal_code": "331657069",
"telephone_number": "786-558-8901",
"fax_number": "786-558-8917"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREVENTIVE AND PRIMARY CARE MEDICAL CENTER INC",
"organizational_subpart": "NO",
"enumeration_date": "2012-01-02",
"last_updated": "2022-10-06",
"certification_date": "2022-10-06",
"status": "A",
"authorized_official_last_name": "VILLALBA",
"authorized_official_first_name": "MAGALIS",
"authorized_official_title_or_position": "CO-OWNER",
"authorized_official_telephone_number": "786-558-8901",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Oct 6, 2022; 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.