Excellence Medical Center

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

ME0061179 Issued in FL

Legal business name

EXCELLENCE MEDICAL CENTER

Practice address

1235 N Krome Ave
Homestead, FL 33030-4204

Phone

(305) 242-5336

Fax

(305) 242-5337

NPI assigned

Jun 16, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Nilda Rose Acosta, MDNPI 1689617920

Title

President Ceo

Phone

(305) 242-5336

Specialties & licenses 1

Addresses

Other identifiers 1

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/5081/brand/1/csg/1/fhir/r4
• FHIR API: https://api.platform.athenahealth.com/3559/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nilda R. Acosta, M.D.

  • Family Medicine Physician
  • Homestead, FL
  • NPI 1689617920
  NPD Authorized official

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

{
    "created_epoch": "1213574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1740440577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1235 N KROME AVE",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330304204",
            "telephone_number": "305-242-5336",
            "fax_number": "305-242-5337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 N KROME AVE",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330304204",
            "telephone_number": "305-242-5336",
            "fax_number": "305-242-5337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCELLENCE MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-16",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "ACOSTA",
        "authorized_official_first_name": "NILDA",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "305-242-5336",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME0061179",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "264034100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Everest Kids Therapy LLC
• Samantha Ann Evlogimenos, LCSW
• Evolving Lives, Inc
• Exceeding Expectations ABA, LLC
• Excellence Healthcare Services Corp
• Excellent Care Mental Health LLC
• Excellent Health Care by LR
• Excelsior Behavioral Health & Wellness LLC
• Exceptional Kids Transport LLC
• Exceptional Minds ABA, LLC

• General Practice Physician in Homestead, FL
• Providers in Homestead, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.