Trek Healthcare LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

TREK HEALTHCARE LLC

Practice address

11767 S Dixie Hwy # 208
Pinecrest, FL 33156-4438

Phone

(305) 898-7065

NPI assigned

Nov 2, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Ramon Quirantes

Title

Ceo

Phone

(305) 898-7065

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1604275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604275200000",
    "number": "1902407455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 144131",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331144131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11767 S DIXIE HWY # 208",
            "city": "PINECREST",
            "state": "FL",
            "postal_code": "331564438",
            "telephone_number": "305-898-7065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREK HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-02",
        "last_updated": "2020-11-02",
        "certification_date": "2020-10-28",
        "status": "A",
        "authorized_official_last_name": "QUIRANTES",
        "authorized_official_first_name": "RAMON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "305-898-7065",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2020; 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.