Organization Active NPI

Crypto Medical Clinic LLC

  • Clinic/Center
  • Miami, FL
National Provider Identifier
1992584106
Registry record updated Sep 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
CRYPTO MEDICAL CLINIC LLC
Practice address
3100 NW 72ND Ave Ste 113a
Miami, FL 33122-1351
Phone
(305) 589-1494
NPI assigned
Sep 26, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2023

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

Authorized official

Name
Jorge Batista, R.T (R)
Title
MGR
Phone
(305) 589-1494

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

3100 NW 72ND Ave Ste 113a
Miami, FL 33122-1351

Mailing address

3100 NW 72ND Ave Ste 113a
Miami, FL 33122-1351
Phone (305) 589-1494

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250715003482 FL Part B Supplier - Clinic/Group Practice 7810402187 Receives reassigned benefits from 1 practitioner
Practice locations: Miami, FL

National Provider Directory

National Provider Directory

Locations

3100 NW 72nd Ave
Ste 113A
Miami, FL 33122
Phone (305) 589-1494

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": "1695686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695686400000",
    "number": "1992584106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 NW 72ND AVE STE 113A",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331221351",
            "telephone_number": "305-589-1494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 NW 72ND AVE STE 113A",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331221351",
            "telephone_number": "305-589-1494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRYPTO MEDICAL CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-26",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A",
        "authorized_official_last_name": "BATISTA",
        "authorized_official_first_name": "JORGE",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "305-589-1494",
        "authorized_official_credential": "R.T (R)"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 26, 2023; 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.