NPIMap

Organization Active NPI

Premium Group Center, Inc.

  • Clinic/Center
  • Hialeah, FL
National Provider Identifier
1982655569
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
PREMIUM GROUP CENTER, INC.
Practice address
4445 W 16TH Ave
600
Hialeah, FL 33012-7189
Phone
(786) 000-0000
NPI assigned
May 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Caridad Corvea
Title
President
Phone
(786) 000-0000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

4445 W 16TH Ave
600
Hialeah, FL 33012-7189

Mailing address

4445 W 16TH Ave
600
Hialeah, FL 33012-7189

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1982655569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4445 W 16TH AVE",
            "address_2": "600",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330127189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4445 W 16TH AVE",
            "address_2": "600",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330127189",
            "telephone_number": "786-000-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIUM GROUP CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CORVEA",
        "authorized_official_first_name": "CARIDAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-000-0000",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 21, 2022; 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.