Acticare LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME92777 Issued in FL

Legal business name

ACTICARE LLC

Practice address

703 N Flamingo Rd
Pembroke Pines, FL 33028-1006

Phone

(954) 436-5000

NPI assigned

Jul 24, 2017

Organization subpart

No

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

Authorized official

Name

Ludwig R Pierre, MDNPI 1902884307

Title

Owner

Phone

(954) 205-4797

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

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

• Ludwig Rommel Pierre, M.D.

  • Internal Medicine Physician
  • Sunrise, FL
  • NPI 1902884307
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1500854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506902400000",
    "number": "1801319645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14359 MIRAMAR PKWY # 507",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330274134",
            "telephone_number": "954-205-4797",
            "fax_number": "888-551-6287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 N FLAMINGO RD",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330281006",
            "telephone_number": "954-436-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTICARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-24",
        "last_updated": "2017-10-02",
        "status": "A",
        "authorized_official_last_name": "PIERRE",
        "authorized_official_first_name": "LUDWIG",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-205-4797",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME92777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miguel Alberto Acosta, PMHNP-BC
• Pedro Acosta, M.D
• Raymelis Acosta
• Stephanie Acosta
• Vicente Augusto Acosta, RN
• Action Physical Therapy LLC
• Action Physical Therapy, LLC
• Active Community Health Center
• Active Community Health Center Corp
• Acumed USA, P.a.

• Internal Medicine Physician in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2017; 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.