NPIMap

Organization Active NPI

Interamerican Medical Center Group LLC

Doing business as IMC Health

  • Family Medicine Physician
  • Miami, FL
National Provider Identifier
1982146122
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
INTERAMERICAN MEDICAL CENTER GROUP LLC
Doing business as
IMC Health
Practice address
11312-A Quail Roost Drive
Miami, FL 33157
Phone
(305) 253-1660
NPI assigned
Nov 4, 2016
Last updated
Aug 15, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Authorized official

Name
Carlos De Solo
Title
Chief Executive Officer
Phone
(305) 649-8100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

11312-A Quail Roost Drive
Miami, FL 33157

Mailing address

1000 NW 57TH CT Ste 400
Miami, FL 33126-3292
Phone (305) 649-8100

Other names 1

  • IMC Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110415000674 FL Part B Supplier - Clinic/Group Practice 2961686951 Receives reassigned benefits from 73 practitioners
17 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Homestead, FL; Orlando, FL; Miami Lakes, FL; Miami, FL; Lauderhill, FL; Hialeah, FL

Other NPIs on the same Medicare enrollment 17

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 17

National Provider Directory

National Provider Directory
Tax ID family
Interamerican Medical Center Group LLC11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

Locations

1435 NE 8th St
Homestead, FL 33033
Phone (305) 246-3864

1526 NE 8th St
Homestead, FL 33033
Phone (305) 245-6191

11312 Quail Roost Dr
#A
Miami, FL 33157
Phone (305) 253-1600

2141 NW 7th St
Miami, FL 33125
Phone (305) 642-2345

4155 SW 130th Ave
Ste 201
Miami, FL 33175
Phone (305) 348-3627

6405 NW 27th Ave
Miami, FL 33147
Phone (305) 403-4003

7165 W Flagler St
Miami, FL 33144
Phone (786) 388-7696

Practitioners & affiliated clinicians

Practitioners 44

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.

View all 44

NPI Registry JSON

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

{
    "created_epoch": "1478217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723680000000",
    "number": "1982146122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 NW 57TH CT STE 400",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263292",
            "telephone_number": "305-649-8100",
            "fax_number": "305-649-8778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11312-A QUAIL ROOST DRIVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33157",
            "telephone_number": "305-253-1660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERAMERICAN MEDICAL CENTER GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-04",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A",
        "authorized_official_last_name": "DE SOLO",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "305-649-8100"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IMC Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; 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.