Organization Active NPI

Med-Life Medical Center Inc

  • Clinic/Center
  • Miami, FL
National Provider Identifier
1821534918
Registry record updated Nov 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
HCC10878 Issued in FL
Legal business name
MED-LIFE MEDICAL CENTER INC
Practice address
801 NW 37TH Ave Ste 207
Miami, FL 33125-3882
Phone
(786) 953-7482
Fax
(786) 953-7467
NPI assigned
Jan 12, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2022

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

Authorized official

Name
Maybel Concepcion
Title
Ceo
Phone
(786) 953-7482

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X HCC10878 FL Primary

Addresses

Primary practice location

801 NW 37TH Ave Ste 207
Miami, FL 33125-3882

Mailing address

801 NW 37TH Ave Ste 207
Miami, FL 33125-3882
Phone (786) 953-7482

Other practice location 1

1250 SW 27th Ave Ste 306
Miami, FL 33135-4749
Phone (786) 953-7482

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180404000920 FL Part B Supplier - Clinic/Group Practice 3971866989 Receives reassigned benefits from 5 practitioners
Practice locations: Miami, FL

National Provider Directory

National Provider Directory

Locations

801 NW 37th Ave
Ste 207
Miami, FL 33125
Phone (786) 953-7482

801 NW 37th Ave
Ste 210
Miami, FL 33125
Phone (786) 953-7482

Practitioners & affiliated clinicians

Practitioners 5

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": "1484179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669161600000",
    "number": "1821534918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 NW 37TH AVE STE 207",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331253882",
            "telephone_number": "786-953-7482",
            "fax_number": "786-953-7467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 NW 37TH AVE STE 207",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331253882",
            "telephone_number": "786-953-7482",
            "fax_number": "786-953-7467"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1250 SW 27th Ave Ste 306",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331354749",
            "country_code": "US",
            "telephone_number": "786-953-7482",
            "fax_number": "786-953-7467",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MED-LIFE MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-12",
        "last_updated": "2022-11-23",
        "certification_date": "2022-11-23",
        "status": "A",
        "authorized_official_last_name": "CONCEPCION",
        "authorized_official_first_name": "MAYBEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "786-953-7482"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "HCC10878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2022; 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.