Prime Health Medical Center LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME0071876 Issued in FL

Legal business name

PRIME HEALTH MEDICAL CENTER LLC

Practice address

18250 NW 2ND Avenue
Suite 202
Miami Gardens, FL 33169

Phone

(786) 280-6474

Fax

(305) 249-0072

NPI assigned

Jul 23, 2006

Last updated

Oct 6, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Anite M Lubin, MDNPI 1700861770

Title

President

Phone

(305) 981-4700

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

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.

• Anite Lubin, MD

  • Internal Medicine Physician
  • Miami Gardens, FL
  • NPI 1700861770
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223251200000",
    "number": "1750302626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4724 MONROE STREET",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "33021",
            "telephone_number": "305-981-4700",
            "fax_number": "305-981-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18250 NW 2ND AVENUE",
            "address_2": "SUITE 202",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "33169",
            "telephone_number": "786-280-6474",
            "fax_number": "305-249-0072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME HEALTH MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-23",
        "last_updated": "2008-10-06",
        "status": "A",
        "authorized_official_last_name": "LUBIN",
        "authorized_official_first_name": "ANITE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-981-4700",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME0078304",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0071876",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "253658700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sybille Presendieu, APRN
• Price Choice Pharmacy 2
• Sabrina Prieto Gutierrez, RBT
• Lorena Prieto Sanchez
• Ayleen Prieto, PTA
• Aylen Proenza Corzo, BCBA
• Professional First Corp
• Public Health Trust of Dade County Florida (Jackson North Community Mental Health Center-Med Waiver)
• Public Health Trust of Miami Conty Florida (UHealth at Jackson Urgent Care North Dade)
• Alina Puebla

• Internal Medicine Physician in Miami Gardens, FL
• Providers in Miami Gardens, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.