Organization Active NPI

Dulce,Martinez and Pinto Family Medical Centers, S.C.

Doing business as Americas Family Medical Center

  • Primary Care Clinic/Center
  • Joliet, IL
National Provider Identifier
1982796660
Registry record updated Apr 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
DULCE,MARTINEZ AND PINTO FAMILY MEDICAL CENTERS, S.C.
Doing business as
Americas Family Medical Center
Practice address
674 Collins St
Joliet, IL 60432-1857
Phone
(815) 726-1665
Fax
(815) 726-4870
NPI assigned
Sep 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2009

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

Authorized official

Name
Ms. Soley Serrano
Title
Administrative Assistant
Phone
(630) 833-5838

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

674 Collins St
Joliet, IL 60432-1857

Mailing address

580 E Lake St
Addison, IL 60101-2829
Phone (630) 833-5838

Other names 1

  • AMERICAS FAMILY MEDICAL CENTER Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050714000025 IL Part B Supplier - Clinic/Group Practice 3870529571 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Addison, IL

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory

Locations

580 E Lake St
Addison, IL 60101
Phone (630) 833-5838

674 Collins St
Joliet, IL 60432
Phone (815) 726-1665

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": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240185600000",
    "number": "1982796660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 E LAKE ST",
            "city": "ADDISON",
            "state": "IL",
            "postal_code": "601012829",
            "telephone_number": "630-833-5838",
            "fax_number": "630-833-3266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "674 COLLINS ST",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604321857",
            "telephone_number": "815-726-1665",
            "fax_number": "815-726-4870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DULCE,MARTINEZ AND PINTO FAMILY MEDICAL CENTERS, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2009-04-20",
        "status": "A",
        "authorized_official_last_name": "SERRANO",
        "authorized_official_first_name": "SOLEY",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "630-833-5838",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AMERICAS FAMILY MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Joliet, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2009; 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.