Organization Active NPI

Telemedco Inc

  • Medical Specialty Clinic/Center
  • Miami Beach, FL
National Provider Identifier
1790306603
Registry record updated Jan 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
TELEMEDCO INC
Practice address
1000 5TH St Ste 200
Miami Beach, FL 33139-6510
Phone
(130) 530-5031
NPI assigned
May 1, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2021

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

Authorized official

Name
Dr. Altagracia Miranda, MDNPI 1568441244
Title
Co-Owner
Phone
(305) 305-0310

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

1000 5TH St Ste 200
Miami Beach, FL 33139-6510

Mailing address

1000 5TH St Ste 200
Miami Beach, FL 33139-6510
Phone (305) 305-0310

Other practice location 1

1000 5th St Ste 200
Miami Beach, FL 33139-6510

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20210128002950 FL Part B Supplier - Clinic/Group Practice 2062826225 Receives reassigned benefits from 1 practitioner
Practice locations: Miami Beach, FL
O20210520001729 NY Part B Supplier - Clinic/Group Practice 2062826225 Receives reassigned benefits from 1 practitioner
Practice locations: Bronx, NY

National Provider Directory

National Provider Directory

Locations

583 City Island Ave
Bronx, NY 10464
Phone (305) 305-0310

Practitioners & affiliated clinicians

Practitioners 1

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": "1588291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611014400000",
    "number": "1790306603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 5TH ST STE 200",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331396510",
            "telephone_number": "305-305-0310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 5TH ST STE 200",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331396510",
            "telephone_number": "130-530-5031"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 5th St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Miami Beach",
            "state": "FL",
            "postal_code": "331396510",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TELEMEDCO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-01",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-19",
        "status": "A",
        "authorized_official_last_name": "MIRANDA",
        "authorized_official_first_name": "ALTAGRACIA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "305-305-0310",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2021; 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.