Excellence Healthcare, Corp

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

EXCELLENCE HEALTHCARE, CORP

Practice address

16239 SW 88TH St
Miami, FL 33196-4912

Phone

(786) 953-5009

Fax

(305) 503-6777

NPI assigned

Apr 3, 2019

Last updated

Sep 27, 2021By 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

Idania Hurtado-Perez, MDNPI 1275840951

Title

Physician/President

Phone

(786) 953-5009

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

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.

• Idania Hurtado-Perez, M.D.

  • Family Medicine Physician
  • Miami, FL
  • NPI 1275840951
  Medicare reassignment Authorized official
• Marianela Truy Menchaca, NP

  • Family Nurse Practitioner
  • Miami, FL
  • NPI 1801437876
  NPD

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

{
    "created_epoch": "1554249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632700800000",
    "number": "1790247104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15742 SW 100TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331966116",
            "telephone_number": "786-953-5009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16239 SW 88TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331964912",
            "telephone_number": "786-953-5009",
            "fax_number": "305-503-6777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCELLENCE HEALTHCARE, CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-03",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-27",
        "status": "A",
        "authorized_official_last_name": "HURTADO-PEREZ",
        "authorized_official_first_name": "IDANIA",
        "authorized_official_title_or_position": "PHYSICIAN/PRESIDENT",
        "authorized_official_telephone_number": "786-953-5009",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Excel Pharmacy Inc
• Excell Medical Equipment Corp
• Excellence Behavioral Services LLC
• Excellence Diagnostic Center
• Excellence Health Medical Center
• Excellence Home Health, Inc
• Excellence Home Support
• Excellence Home Support. Corp
• Excellence Medical Group Corp
• Excellence Medical Solutions, Inc.

• Family Medicine Physician in Miami, FL
• Providers in Miami, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.