Organization Active NPI

Adult Medical Care Associates

  • Internal Medicine Physician
  • Hallandale Beach, FL
National Provider Identifier
1912214768
Registry record updated Aug 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME105692 Issued in FL
Legal business name
ADULT MEDICAL CARE ASSOCIATES
Practice address
1130 E Hallandale Beach Blvd
Suite a
Hallandale Beach, FL 33009-4416
Phone
(954) 889-3347
Fax
(954) 889-3347
NPI assigned
Aug 31, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2011

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

Authorized official

Name
Ivis Quesada
Title
President
Phone
(954) 889-3347

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME105692 FL Primary

Addresses

Primary practice location

1130 E Hallandale Beach Blvd
Suite a
Hallandale Beach, FL 33009-4416

Mailing address

PO Box 813297
Hollywood, FL 33081-3297
Phone (954) 889-3347

National Provider Directory

National Provider Directory

Locations

2929 N University Dr
Ste 104
Coral Springs, FL 33065
Phone (954) 289-4777

1130 E Hallandale Beach Blvd
Ste A
Hallandale Beach, FL 33009
Phone (954) 456-2220

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1283212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314748800000",
    "number": "1912214768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 813297",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330813297",
            "telephone_number": "954-889-3347",
            "fax_number": "954-889-3347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 E HALLANDALE BEACH BLVD",
            "address_2": "SUITE A",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330094416",
            "telephone_number": "954-889-3347",
            "fax_number": "954-889-3347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADULT MEDICAL CARE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-31",
        "last_updated": "2011-08-31",
        "status": "A",
        "authorized_official_last_name": "QUESADA",
        "authorized_official_first_name": "IVIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-889-3347"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME105692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hallandale Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2011; 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.