Organization Active NPI

K & C Accid Medical Corp

  • Clinic/Center
  • Virginia Gardens, FL
National Provider Identifier
1811027915
Registry record updated Jun 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
HCC7509 Issued in FL
Legal business name
K & C ACCID MEDICAL CORP
Practice address
6595 NW 36TH St
Suite 319
Virginia Gardens, FL 33166-6979
Phone
(305) 871-2343
Fax
(305) 529-1847
NPI assigned
Mar 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2008

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

Authorized official

Name
Mr. Cristian Valdes
Title
President Owner
Phone
(305) 871-2343

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X HCC7509 FL Primary

Addresses

Primary practice location

6595 NW 36TH St
Suite 319
Virginia Gardens, FL 33166-6979

Mailing address

6595 NW 36TH St
Suite 319
Virginia Gardens, FL 33166-6979
Phone (305) 871-2343

Other identifiers 1

IdentifierTypeStateIssuer
HCC7509OtherFLAHCA LICENSE

National Provider Directory

National Provider Directory
Tax ID family
KC Accid Medical Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6595 NW 36th St
Ste 319
Virginia Gardens, FL 33166
Phone (305) 871-2343

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1811027915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6595 NW 36TH ST",
            "address_2": "SUITE 319",
            "city": "VIRGINIA GARDENS",
            "state": "FL",
            "postal_code": "331666979",
            "telephone_number": "305-871-2343",
            "fax_number": "305-529-1847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6595 NW 36TH ST",
            "address_2": "SUITE 319",
            "city": "VIRGINIA GARDENS",
            "state": "FL",
            "postal_code": "331666979",
            "telephone_number": "305-871-2343",
            "fax_number": "305-529-1847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K & C ACCID MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "VALDES",
        "authorized_official_first_name": "CRISTIAN",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "305-871-2343",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "HCC7509",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA LICENSE",
            "identifier": "HCC7509",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; 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.