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PRIMECARE MEDICAL MANAGEMENT NPI 1093159485


NPI Information

NPI: 1093159485
Provider Name: PRIMECARE MEDICAL MANAGEMENT
Classification: Point of Service - 305S00000X
Entity Type: Organization
Address:
4131 SW 6TH ST
CORAL GABLES, FL
ZIP 33134
Phone: (305) 442-2228
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PRIMECARE MEDICAL MANAGEMENT is a point of service in Coral Gables, FL. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. PRIMECARE MEDICAL MANAGEMENT NPI is 1093159485. The provider is registered as an organization entity type.

The provider's business location address is:

4131 SW 6TH ST
CORAL GABLES, FL
ZIP 33134-057
Phone: (305) 442-2228
Fax: (305) 442-2207

The provider's authorized official is Rene Casanova .
The authorized official title is President and has the following contact phone number (305) 442-2228.

The enumeration date for this NPI number is 4/29/2013 and was last updated on 4/29/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1305S00000XPoint of ServiceME78770FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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