Organization Active NPI

Primary Care Network Management Inc

  • Case Manager/Care Coordinator
  • North Miami Beach, FL
National Provider Identifier
1780964700
Registry record updated Aug 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
PRIMARY CARE NETWORK MANAGEMENT INC
Practice address
995 N Miami Beach Blvd
Suite 100
North Miami Beach, FL 33162-3721
Phone
(305) 957-0017
NPI assigned
Aug 22, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2011

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

Authorized official

Name
Wilfredo Gonzalez
Title
President
Phone
(305) 957-0017

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X Primary

Addresses

Primary practice location

995 N Miami Beach Blvd
Suite 100
North Miami Beach, FL 33162-3721

Mailing address

995 N Miami Beach Blvd
Suite 100
North Miami Beach, FL 33162-3721
Phone (305) 957-0017

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1313971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313971200000",
    "number": "1780964700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "995 N MIAMI BEACH BLVD",
            "address_2": "SUITE 100",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331623721",
            "telephone_number": "305-957-0017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "995 N MIAMI BEACH BLVD",
            "address_2": "SUITE 100",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331623721",
            "telephone_number": "305-957-0017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CARE NETWORK MANAGEMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-22",
        "last_updated": "2011-08-22",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "WILFREDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-957-0017"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2011; 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.