NPIMap

Organization Active NPI

Principle Care Center Inc

  • Family Medicine Physician
  • Hialeah, FL
National Provider Identifier
1760190763
Registry record updated Jul 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PRINCIPLE CARE CENTER INC
Practice address
4445 W 16TH Ave Ste 602
Hialeah, FL 33012-2960
Phone
(786) 334-5663
NPI assigned
Nov 8, 2022
Last updated
Jul 5, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2023

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

Authorized official

Name
Mirta PlasenciaNPI 1750600516
Title
President
Phone
(786) 334-5663

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

4445 W 16TH Ave Ste 602
Hialeah, FL 33012-2960

Mailing address

4445 W 16TH Ave Ste 602
Hialeah, FL 33012-2960
Phone (786) 334-5663

Other practice location 1

1500 Colonial Blvd Ste 209
Fort Myers, FL 33907-1025
Phone (786) 334-5663

Other practice location 2

15511 N Florida Ave Ste E1
Tampa, FL 33613-1263
Phone (786) 334-5663

National Provider Directory

National Provider Directory
Tax ID family
Principle Care Center Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

1500 Colonial Blvd
Ste 209
Fort Myers, FL 33907
Phone (786) 334-5663

15511 N Florida Ave
Ste E1
Tampa, FL 33613
Phone (786) 334-5663

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1667865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688515200000",
    "number": "1760190763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4445 W 16TH AVE STE 602",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330122960",
            "telephone_number": "786-334-5663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4445 W 16TH AVE STE 602",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330122960",
            "telephone_number": "786-334-5663"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 Colonial Blvd Ste 209",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339071025",
            "country_code": "US",
            "telephone_number": "786-334-5663",
            "fax_number": "786-431-5578",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15511 N Florida Ave Ste E1",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336131263",
            "country_code": "US",
            "telephone_number": "786-334-5663",
            "fax_number": "813-999-1524",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PRINCIPLE CARE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-08",
        "last_updated": "2023-07-05",
        "certification_date": "2023-05-24",
        "status": "A",
        "authorized_official_last_name": "PLASENCIA",
        "authorized_official_first_name": "MIRTA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-334-5663"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 5, 2023; 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.