Active NPI
Miami Rescue Mission Clinic Inc
- Community Health Clinic/Center
- Miami, FL
National Provider Identifier
1740624055
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Clinic/Center
- Legal business name
- MIAMI RESCUE MISSION CLINIC INC
- Practice address
- 2015 NW 1St Ave
Miami, FL 33127-4901 - Phone
- (305) 572-2027
- NPI assigned
- Apr 18, 2013
- Last updated
- Apr 18, 2013
- 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
- Dr. Peter Alfredo Gutierrez, M.D.
- Title
- President/Ceo
- Phone
- (305) 572-2026
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Clinic/Center | 261QC1500X | Primary |
Addresses
Primary practice location
2015 NW 1St Ave
Miami, FL 33127-4901
Mailing address
2015 NW 1St Ave
Miami, FL 33127-4901
Phone (305) 572-2027
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300360-180085 | Other | FL | CITY OF MIAMI |
National Provider Directory
National Provider Directory- Tax ID family
- Miami Rescue Mission Clinic Inc
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community Health Clinic/Center
- Miami, FL
- NPI 1396276846
-
- Community Health Worker
- Miami, FL
- NPI 1891081188
-
- Primary Care Clinic/Center
- Miami, FL
- NPI 1154688174
Locations
2015 NW 1st Ave
Miami, FL 33127
Phone (305) 572-2026
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366243200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1366243200000",
"number": "1740624055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2015 NW 1ST AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331274901",
"telephone_number": "305-572-2027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2015 NW 1ST AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331274901",
"telephone_number": "305-572-2027"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIAMI RESCUE MISSION CLINIC INC",
"organizational_subpart": "NO",
"enumeration_date": "2013-04-18",
"last_updated": "2013-04-18",
"status": "A",
"authorized_official_last_name": "GUTIERREZ",
"authorized_official_first_name": "PETER",
"authorized_official_middle_name": "ALFREDO",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "305-572-2026",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QC1500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Community Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CITY OF MIAMI",
"identifier": "300360-180085",
"state": "FL"
}
],
"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 Apr 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.