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CCR MEDICAL CENTER LLC. NPI 1518598119


NPI Information

NPI: 1518598119
Provider Name: CCR MEDICAL CENTER, LLC.
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 10D2208572

Address:
8150 SW 8TH ST STE 201
MIAMI, FL
ZIP 33144
Phone: (877) 227-6323
Get Directions

CCR MEDICAL CENTER, LLC. is a family medicine in Miami, FL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. CCR MEDICAL CENTER, LLC. NPI is 1518598119. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

8150 SW 8TH ST STE 201
MIAMI, FL
ZIP 33144-273
Phone: (877) 227-6323
Fax: (888) 822-6668

The provider's authorized official is Angel Meza .
The authorized official title is Administrator and has the following contact phone number (877) 227-6323.

The CLIA number assigned to this NPI record is 10D2208572 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/1/2020 and was last updated on 11/30/2021.


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
1207Q00000XFamily MedicineYes

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: 11/14/2023

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.