Organization Active NPI

Primary Medical Care Center and Urgent Care Clinic, Inc

  • Primary Care Clinic/Center
  • Miami, FL
National Provider Identifier
1760769681
Registry record updated Aug 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
PRIMARY MEDICAL CARE CENTER AND URGENT CARE CLINIC, INC
Practice address
11500 NW 7TH Ave
Miami, FL 33168
Phone
(305) 751-1500
Fax
(305) 751-1507
NPI assigned
Nov 5, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2018

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

Authorized official

Name
Prinston Jean-Glaude
Title
Cfo
Phone
(305) 751-1500

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X FL
Primary Care Clinic/Center 261QP2300X FL Primary
Primary Care Clinic/Center 261QP2300X
Urgent Care Clinic/Center 261QU0200X FL

Addresses

Primary practice location

11500 NW 7TH Ave
Miami, FL 33168

Mailing address

11500 NW 7TH Ave
Miami, FL 33168-2506
Phone (305) 751-1500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130508000357 FL Part B Supplier - Clinic/Group Practice 3779720826 Receives reassigned benefits from 2 practitioners
Practice locations: Miami, FL

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1320451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534809600000",
    "number": "1760769681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11500 NW 7TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331682506",
            "telephone_number": "305-751-1500",
            "fax_number": "305-751-1507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11500 NW 7TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33168",
            "telephone_number": "305-751-1500",
            "fax_number": "305-751-1507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY MEDICAL CARE CENTER AND URGENT CARE CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-05",
        "last_updated": "2018-08-21",
        "status": "A",
        "authorized_official_last_name": "JEAN-GLAUDE",
        "authorized_official_first_name": "PRINSTON",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "305-751-1500"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "FL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Aug 21, 2018; 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.