Organization Active NPI

Socorro Health LLC

Doing business as Socorro Health Clinic

  • Internal Medicine Physician
  • Hialeah, FL
National Provider Identifier
1891317806
Registry record updated Nov 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SOCORRO HEALTH LLC
Doing business as
Socorro Health Clinic
Practice address
777 E 25TH St Ste 308
Hialeah, FL 33013-3824
Phone
(954) 696-3093
Fax
(305) 995-0947
NPI assigned
May 13, 2020
Last updated
Nov 29, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2022

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

Authorized official

Name
Ciomara Socorro, ARNPNPI 1629566286
Title
Owner
Phone
(954) 696-3093

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X NU
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

777 E 25TH St Ste 308
Hialeah, FL 33013-3824

Mailing address

10640 SW 20TH CT
Miramar, FL 33025-3963
Phone (954) 696-3093

Other names 1

  • SOCORRO HEALTH CLINIC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200727003156 FL Part B Supplier - Clinic/Group Practice 6800210600 Receives reassigned benefits from 1 practitioner
Practice locations: Miramar, FL

National Provider Directory

National Provider Directory

Locations

777 E 25th St
Ste 308
Hialeah, FL 33013
Phone (305) 693-8585

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1589328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669680000000",
    "number": "1891317806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10640 SW 20TH CT",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330253963",
            "telephone_number": "954-696-3093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 E 25TH ST STE 308",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330133824",
            "telephone_number": "954-696-3093",
            "fax_number": "305-995-0947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOCORRO HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-13",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-29",
        "status": "A",
        "authorized_official_last_name": "SOCORRO",
        "authorized_official_first_name": "CIOMARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-696-3093",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOCORRO HEALTH CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 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.