Advance Primary Care LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

ACN-194 Issued in FL

Legal business name

ADVANCE PRIMARY CARE LLC

Practice address

1133 SE 18TH PL
Suite 2
Ocala, FL 34471

Phone

(352) 861-5765

Fax

(352) 867-1801

NPI assigned

May 12, 2017

Last updated

May 12, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jaime Eli Rubio, MD

Title

Owner

Phone

(352) 286-9255

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Advance Geriatric Care LLC

  • General Practice Physician
  • Ocala, FL
  • NPI 1518620954
  NPPES parent name

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.

• Sandy Caterine Gomez, ARNP

  • Nurse Practitioner
  • Temple Terrace, FL
  • NPI 1982050332
  Medicare reassignment NPD
• Jaime Eli Rubio Gonzalez, MD

  • General Practice Physician
  • Ocala, FL
  • NPI 1255532933
  Medicare reassignment

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

{
    "created_epoch": "1494547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494547200000",
    "number": "1669909305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1133 SE 18TH PL",
            "address_2": "SUITE 2",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344715410",
            "telephone_number": "352-861-5765",
            "fax_number": "352-867-1801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 SE 18TH PL",
            "address_2": "SUITE 2",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "34471",
            "telephone_number": "352-861-5765",
            "fax_number": "352-867-1801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE PRIMARY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-12",
        "last_updated": "2017-05-12",
        "status": "A",
        "authorized_official_last_name": "RUBIO",
        "authorized_official_first_name": "JAIME",
        "authorized_official_middle_name": "ELI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-286-9255",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN-194",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "280272400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chenora Netaschia Adjei-Christie, MSW
• Cheryl Dee Adkinson, APRN
• Adult Healthcare Corp
• Madhu Babu Adusumilli
• Advance Geriatric Care LLC
• Advanced Dental Care Quail Meadows LLC
• Advanced Dental Care Shady Road LLC
• Advanced Hearing and Audiology (Quality Hearing)
• Advanced Hearing Group, LLC
• Advanced Medical and Consulting Services

• General Practice Physician in Ocala, FL
• Providers in Ocala, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2017; 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.

Verify at the official NPI Registry.