Active NPI
Epic Medical Center LLC
- Multi-Specialty Clinic/Center
- Miami, FL
National Provider Identifier
1689386377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CH8107 | Other | FL | MEDICAL LICENSE |
National Provider Directory
National Provider DirectoryNPI 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.