NPIMap

Organization Active NPI

Medcare Quality Medical Centers, LLC

  • Clinic/Center
  • Hialeah, FL
National Provider Identifier
1912384538
Registry record updated Jun 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
MEDCARE QUALITY MEDICAL CENTERS, LLC
Practice address
900 W 49 St
Suite # 101
Hialeah, FL 33012
Phone
(305) 266-2929
NPI assigned
May 4, 2015
Last updated
Jun 12, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2017

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

Authorized official

Name
Manuel Iglesias
Title
Ceo
Phone
(786) 641-5348

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary
Internal Medicine Physician 207R00000X NU

Addresses

Primary practice location

900 W 49 St
Suite # 101
Hialeah, FL 33012

Mailing address

8750 NW 36TH Street
Suite 300
Doral, FL 33178
Phone (786) 641-5348

Other identifiers 1

IdentifierTypeStateIssuer
01775300MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Medcare Quality Medical Center LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1430697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497225600000",
    "number": "1912384538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8750 NW 36TH STREET",
            "address_2": "SUITE 300",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "33178",
            "telephone_number": "786-641-5348",
            "fax_number": "305-615-1121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 W 49 ST",
            "address_2": "SUITE # 101",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "33012",
            "telephone_number": "305-266-2929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDCARE QUALITY MEDICAL CENTERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-04",
        "last_updated": "2017-06-12",
        "status": "A",
        "authorized_official_last_name": "IGLESIAS",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "786-641-5348"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01775300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jun 12, 2017; 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.