Organization Active NPI

Urgent Care Baptist C Corp

  • Clinic/Center
  • Miami, FL
National Provider Identifier
1700200813
Registry record updated Feb 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
ME38894 Issued in FL
Legal business name
URGENT CARE BAPTIST C CORP
Practice address
14750 SW 26TH Street
Suite 216
Miami, FL 33185
Phone
(305) 503-6115
NPI assigned
Feb 10, 2014
Organization subpart
Yes
Parent organization
URGENT CARE BAPTIST C CORPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 10, 2014

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

Authorized official

Name
Mr. Ernesto J Matamoros Sr., M.D.
Title
Doctor
Phone
(305) 503-6115

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X ME38894 FL Primary

Addresses

Primary practice location

14750 SW 26TH Street
Suite 216
Miami, FL 33185

Mailing address

14750 SW 26TH Street
Miami, FL 33185
Phone (305) 503-6115

National Provider Directory

National Provider Directory
Part of
Urgent Care Baptist C Corp

Locations

14750 SW 26th St
Miami, FL 33185
Phone (786) 536-9441

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": "1391990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391990400000",
    "number": "1700200813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14750 SW 26TH STREET",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33185",
            "telephone_number": "305-503-6115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14750 SW 26TH STREET",
            "address_2": "SUITE 216",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33185",
            "telephone_number": "305-503-6115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URGENT CARE BAPTIST C CORP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "URGENT CARE BAPTIST C CORP",
        "enumeration_date": "2014-02-10",
        "last_updated": "2014-02-10",
        "status": "A",
        "authorized_official_last_name": "MATAMOROS",
        "authorized_official_first_name": "ERNESTO",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "305-503-6115",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "ME38894",
            "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 Feb 10, 2014; 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.