Medtour 2 LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

MEDTOUR 2 LLC

Practice address

10305 NW 41St St Ste 203
Doral, FL 33178-2982

Phone

(786) 949-0100

Fax

(305) 356-3617

NPI assigned

Jul 10, 2023

Organization subpart

No

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

Authorized official

Name

Andrea Cristina Urdaneta, APRNNPI 1861163990

Title

Member

Phone

(786) 949-0100

Specialties & licenses 1

Addresses

Other names 1

• DORAL PRIMARY CARE Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 3

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

• Andrea Cristina Urdaneta, MSN, APRN

  • Nurse Practitioner
  • Doral, FL
  • NPI 1861163990
  Medicare reassignment NPD Authorized official
• Edvis Rodriguez Villalobos

  • Family Nurse Practitioner
  • Miami, FL
  • NPI 1295437390
  Medicare reassignment NPD
• Omar Benitez, MD

  • General Practice Physician
  • Miami, FL
  • NPI 1912170556
  NPD (past)

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

{
    "created_epoch": "1688947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704153600000",
    "number": "1861170920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10305 NW 41ST ST STE 203",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331782982",
            "telephone_number": "786-949-0100",
            "fax_number": "305-356-3617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10305 NW 41ST ST STE 203",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331782982",
            "telephone_number": "786-949-0100",
            "fax_number": "305-356-3617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDTOUR 2 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-10",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A",
        "authorized_official_last_name": "URDANETA",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "CRISTINA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "786-949-0100",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DORAL PRIMARY CARE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DORAL PRIMARY CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Paula Liliana Medina, DC
• Mediquip Unlimited Inc.
• Medivance DME LLC
• Medivante LLC
• Milena Medori
• Medtour LLC
• Medvali.Inc
• Medxperts RCM
• Mega Health Group Mso Inc
• Melissa Meincken Bob, DDS

• Primary Care Clinic/Center in Doral, FL
• Providers in Doral, 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 Jan 2, 2024; 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.