NPIMap

Organization Active NPI

Primary Care Medical Centers of South Florida LLC

  • Physical Therapy Clinic/Center
  • Hialeah, FL
National Provider Identifier
1891333472
Registry record updated Apr 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
PRIMARY CARE MEDICAL CENTERS OF SOUTH FLORIDA LLC
Practice address
1840 W 49TH St Ste 420
Hialeah, FL 33012-2978
Phone
(786) 703-3085
Fax
(786) 703-3086
NPI assigned
Dec 14, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2021

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

Authorized official

Name
Irina Fonseca
Title
President
Phone
(786) 375-0036

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary
Primary Care Clinic/Center 261QP2300X

Addresses

Primary practice location

1840 W 49TH St Ste 420
Hialeah, FL 33012-2978

Mailing address

1840 W 49TH St Ste 420
Hialeah, FL 33012-2978
Phone (786) 375-0036

Other names 1

  • Primary Care Medical Centers of South Florida LLC Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1576281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618790400000",
    "number": "1891333472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 W 49TH ST STE 420",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330122978",
            "telephone_number": "786-375-0036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 W 49TH ST STE 420",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330122978",
            "telephone_number": "786-703-3085",
            "fax_number": "786-703-3086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CARE MEDICAL CENTERS OF SOUTH FLORIDA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-14",
        "last_updated": "2021-04-19",
        "certification_date": "2021-04-19",
        "status": "A",
        "authorized_official_last_name": "FONSECA",
        "authorized_official_first_name": "IRINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-375-0036"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Primary Care Medical Centers of South Florida LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Primary Care Medical Centers of South Florida LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Apr 19, 2021; 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.