Organization Active NPI

Preferred Care Partners Medical Group, Inc.

  • General Practice Physician
  • Miami, FL
National Provider Identifier
1689958829
Registry record updated Oct 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
PREFERRED CARE PARTNERS MEDICAL GROUP, INC.
Practice address
2974 SW 8TH St
Miami, FL 33135-2827
Phone
(305) 631-3000
Fax
(305) 631-3006
NPI assigned
Oct 6, 2011
Organization subpart
Yes
Parent organization
PREFERRED CARE PARTNERS MEDICAL GROUP, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 6, 2011

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

Authorized official

Name
Mr. Joseph L Caruncho, ESQ.
Title
President
Phone
(305) 670-8440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

2974 SW 8TH St
Miami, FL 33135-2827

Mailing address

PO Box 566538
Miami, FL 33256-6538
Phone (305) 631-3000

Other names 1

  • Preferred Care Partners Medical Group of Little Havana Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Preferred Care Partners Med5 organizations share this tax ID, including this one
Part of
Preferred Care Partners Med

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1317859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317859200000",
    "number": "1689958829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 566538",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "332566538",
            "telephone_number": "305-631-3000",
            "fax_number": "305-631-3006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2974 SW 8TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331352827",
            "telephone_number": "305-631-3000",
            "fax_number": "305-631-3006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREFERRED CARE PARTNERS MEDICAL GROUP, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PREFERRED CARE PARTNERS MEDICAL GROUP, INC.",
        "enumeration_date": "2011-10-06",
        "last_updated": "2011-10-06",
        "status": "A",
        "authorized_official_last_name": "CARUNCHO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-670-8440",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ESQ."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Preferred Care Partners Medical Group of Little Havana",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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, 2011; 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.