Organization Active NPI

Primecare Family Centers Corp

  • Family Medicine Physician
  • Coral Gables, FL
National Provider Identifier
1710434485
Registry record updated Oct 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME45472 Issued in FL
Legal business name
PRIMECARE FAMILY CENTERS CORP
Practice address
4131 SW 6TH St
Coral Gables, FL 33134-2057
Phone
(305) 442-2228
Fax
(305) 442-2207
NPI assigned
Sep 9, 2016
Last updated
Oct 24, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2016

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

Authorized official

Name
Nerelys Perez
Title
Administrator
Phone
(305) 442-2228

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME45472 FL Primary
Pediatrics Physician 208000000X ME43821 FL

Addresses

Primary practice location

4131 SW 6TH St
Coral Gables, FL 33134-2057

Mailing address

1914 NW 84TH Ave
Doral, FL 33126-1030
Phone (305) 442-2228

National Provider Directory

National Provider Directory
Tax ID family
Primecare Family Centers Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1473379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477267200000",
    "number": "1710434485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1914 NW 84TH AVE",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331261030",
            "telephone_number": "305-442-2228",
            "fax_number": "305-442-2207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4131 SW 6TH ST",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331342057",
            "telephone_number": "305-442-2228",
            "fax_number": "305-442-2207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMECARE FAMILY CENTERS CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-09",
        "last_updated": "2016-10-24",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "NERELYS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "305-442-2228"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME45472",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME43821",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2016; 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.