Organization Active NPI

Epic Medical Center LLC

  • Multi-Specialty Clinic/Center
  • Miami, FL
National Provider Identifier
1689386377
Registry record updated Dec 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
EPIC MEDICAL CENTER LLC
Practice address
12277 SW 130TH St
Miami, FL 33186-6218
Phone
(305) 244-5883
Fax
(305) 203-0546
NPI assigned
Dec 14, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2022

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

Authorized official

Name
Dr. Alexander Jaimes, CH
Title
Administrator
Phone
(305) 244-5883

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

12277 SW 130TH St
Miami, FL 33186-6218

Mailing address

12277 SW 130TH St
Miami, FL 33186-6218
Phone (305) 244-5883

Other identifiers 1

IdentifierTypeStateIssuer
CH8107OtherFLMEDICAL LICENSE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1670976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670976000000",
    "number": "1689386377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12277 SW 130TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331866218",
            "telephone_number": "305-244-5883",
            "fax_number": "305-203-0546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12277 SW 130TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331866218",
            "telephone_number": "305-244-5883",
            "fax_number": "305-203-0546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPIC MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-14",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A",
        "authorized_official_last_name": "JAIMES",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "305-244-5883",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "CH"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "CH8107",
            "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 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.