Provider Type Icon

MY CLINIC INTEGRAL MEDICAL CENTER INC NPI 1396180535


NPI Information

NPI: 1396180535
Provider Name: MY CLINIC INTEGRAL MEDICAL CENTER INC
Classification: Point of Service - 305S00000X
Entity Type: Organization
Address:
2711 SW 137TH AVE
#93
MIAMI, FL
ZIP 33175
Phone: (305) 646-1932
Get Directions

MY CLINIC INTEGRAL MEDICAL CENTER INC is a point of service in Miami, 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. MY CLINIC INTEGRAL MEDICAL CENTER INC NPI is 1396180535. The provider is registered as an organization entity type.

The provider's business location address is:

2711 SW 137TH AVE
#93
MIAMI, FL
ZIP 33175-359
Phone: (305) 646-1932
Fax: (305) 967-8106

The provider's authorized official is Yusdeivys Perez .
The authorized official title is Owner and has the following contact phone number (786) 378-0649.

The enumeration date for this NPI number is 5/1/2013 and was last updated on 5/1/2013.


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 ServiceMA62083FLORIDAYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.