Primary Medical Care Center of Miramar Inc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

PRIMARY MEDICAL CARE CENTER OF MIRAMAR INC

Practice address

2412 N State Road 7
Lauderdale Lakes, FL 33313-3724

Phone

(954) 289-0000

NPI assigned

Aug 31, 2016

Organization subpart

Yes

Parent organization

PRIMARY MEDICAL CARE CENTER AND URGENT CARE CLINIC, INCAs reported in NPPES

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

Authorized official

Name

Prinston Jean-Glaude

Title

President

Phone

(954) 289-0000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Part of

Primary Medical Care Center and Urgent Care Clinic Inc

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Primary Medical Care Center and Urgent Care Clinic, Inc

  • Primary Care Clinic/Center
  • Miami, FL
  • NPI 1760769681
  NPPES parent name

Practitioners 3

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

• Jean Berlonge Pierre, MD

  • General Practice Physician
  • Lauderdale Lakes, FL
  • NPI 1255769246
  Medicare reassignment NPD
• Angel Javier Rodriguez, ,M.D.

  • Internal Medicine Physician
  • Pembroke Pines, FL
  • NPI 1952454316
  Medicare reassignment
• Dorothy Remy, APRN

  • Family Nurse Practitioner
  • Lauderdale Lakes, FL
  • NPI 1831608710
  NPD (past)

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

{
    "created_epoch": "1472601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592265600000",
    "number": "1831645654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2412 N STATE ROAD 7",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333133724",
            "telephone_number": "954-289-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2412 N STATE ROAD 7",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333133724",
            "telephone_number": "954-289-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY MEDICAL CARE CENTER OF MIRAMAR INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRIMARY MEDICAL CARE CENTER AND URGENT CARE CLINIC, INC",
        "enumeration_date": "2016-08-31",
        "last_updated": "2020-06-16",
        "certification_date": "2020-06-16",
        "status": "A",
        "authorized_official_last_name": "JEAN-GLAUDE",
        "authorized_official_first_name": "PRINSTON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-289-0000"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pricare of Broward, Inc.
• Lynette Price, RPH
• Prima Home Health LLC
• Primary Care Specialist of South Florida PA
• Primary Medical Care Center of Lauderhill Inc.
• Primary Medical Care Center of Pompano Beach, Inc
• Prime Medical Rehab Center, Inc
• Prime Medical Rehab Center, Inc.
• Prime PT Services, Inc
• Priority Wellness Care Inc

• Primary Care Clinic/Center in Lauderdale Lakes, FL
• Providers in Lauderdale Lakes, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2020; 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.