Active NPI
Primary Medical Care Inc
- Clinic/Center
- Miami, FL
National Provider Identifier
1982639100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- PRIMARY MEDICAL CARE INC
- Practice address
- 3413 NW 17TH Ave
Miami, FL 33142-5537 - Phone
- (305) 635-1614
- Fax
- (305) 635-7476
- NPI assigned
- Jul 12, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Orlando Avellaneda
- Title
- Owner
- Phone
- (305) 635-1614
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
3413 NW 17TH Ave
Miami, FL 33142-5537
Mailing address
3413 NW 17TH Ave
Miami, FL 33142-5537
Phone (305) 635-1614
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 268338500 | Medicaid | FL | |
| HCC4760 | Other | FL | AHCA |
National Provider Directory
National Provider DirectoryLocations
3413 NW 17th Ave
Miami, FL 33142
Phone (305) 635-1614
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Miami, FL
- NPI 1083696728
-
- General Practice Physician
- Hollywood, FL
- NPI 1780666750
-
- General Practice Physician
- Coral Gables, FL
- NPI 1821046079
-
- General Practice Physician
- Hialeah, FL
- NPI 1679556740
-
- Optician
- Miami, FL
- NPI 1740382977
-
- Specialist
- Miami Lakes, FL
- NPI 1598744914
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1222128000000",
"number": "1982639100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3413 NW 17TH AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331425537",
"telephone_number": "305-635-1614",
"fax_number": "305-635-7476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3413 NW 17TH AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331425537",
"telephone_number": "305-635-1614",
"fax_number": "305-635-7476"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRIMARY MEDICAL CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-12",
"last_updated": "2008-09-23",
"status": "A",
"authorized_official_last_name": "AVELLANEDA",
"authorized_official_first_name": "ORLANDO",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "305-635-1614"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "268338500",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AHCA",
"identifier": "HCC4760",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
- Primary Health Solutions, LLC
- Primary Management Resources
- Primary Management Resources LLC
- Primary Medical Care Center and Urgent Cae Clinic, Inc
- Primary Medical Care Center and Urgent Care Clinic, Inc
- Primary Pharmacy, Inc.
- Primary Physician Resource, LLC
- Primary Plus Medical Ctr Inc
- Primary Provider Inc.
- Primary Wound Care Specialists LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.