Active NPI
Felicidad Medical Center Inc
- Primary Care Clinic/Center
- Hialeah, FL
National Provider Identifier
1710298971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- HC8779
- Legal business name
- FELICIDAD MEDICAL CENTER INC
- Practice address
- 4410 W 16TH Ave
Suite 55
Hialeah, FL 33012 - Phone
- (305) 824-8559
- Fax
- (305) 824-8561
- NPI assigned
- Jun 23, 2010
- Last updated
- Jul 18, 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
- Mr. Francisco Orlando Soler
- Title
- Ceo
- Phone
- (305) 824-8559
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | NU | ||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | NU | ||
| Adult Mental Health Clinic/Center | 261QM0850X | NU | ||
| Primary Care Clinic/Center | 261QP2300X | HC8779 | FL | Primary |
| Urgent Care Clinic/Center | 261QU0200X | NU | ||
| Community/Behavioral Health Agency | 251S00000X | NU |
Addresses
Primary practice location
4410 W 16TH Ave
Suite 55
Hialeah, FL 33012
Mailing address
4410 W 16TH Ave
Suite 55
Hialeah, FL 33012
Phone (305) 824-8559
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 011828000 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2038954 | Felicidad Medical Center LLC | Certificate of waiver | Mar 27, 2028 |
National Provider Directory
National Provider Directory- Tax ID family
- Felicidad Medical Center
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Miami Lakes, FL
- NPI 1275145898
Networks
- HealthSun Health Plans Network
Practitioners & affiliated clinicians
Practitioners 4
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.
-
- Internal Medicine Physician
- Hialeah, FL
- NPI 1891742169
-
- Psychiatry Physician
- Hialeah, FL
- NPI 1821126079
-
- Family Nurse Practitioner
- Hialeah, FL
- NPI 1831592377
-
- Mental Health Counselor
- Miami Lakes, FL
- NPI 1891135984
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277251200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658102400000",
"number": "1710298971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4410 W 16TH AVE",
"address_2": "SUITE 55",
"city": "HIALEAH",
"state": "FL",
"postal_code": "33012",
"telephone_number": "305-824-8559",
"fax_number": "305-824-8561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4410 W 16TH AVE",
"address_2": "SUITE 55",
"city": "HIALEAH",
"state": "FL",
"postal_code": "33012",
"telephone_number": "305-824-8559",
"fax_number": "305-824-8561"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FELICIDAD MEDICAL CENTER INC",
"organizational_subpart": "NO",
"enumeration_date": "2010-06-23",
"last_updated": "2022-07-18",
"certification_date": "2022-07-18",
"status": "A",
"authorized_official_last_name": "SOLER",
"authorized_official_first_name": "FRANCISCO",
"authorized_official_middle_name": "ORLANDO",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "305-824-8559",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "FL",
"license": "HC8779",
"primary": true
},
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "011828000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hialeah, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.