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PREMIER MEDICAL CENTER LLC NPI 1558763565


NPI Information

NPI: 1558763565
Provider Name: PREMIER MEDICAL CENTER LLC
Classification: General Practice - 208D00000X
Entity Type: Organization

CLIA Number: 10D2083727

Address:
6741 CORAL WAY
STE 38
MIAMI, FL
ZIP 33155
Phone: (305) 262-5476
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PREMIER MEDICAL CENTER LLC is a general practice in Miami, FL. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee PREMIER MEDICAL CENTER LLC NPI is 1558763565. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6741 CORAL WAY
STE 38
MIAMI, FL
ZIP 33155-762
Phone: (305) 262-5476
Fax: (305) 262-5520

The provider's authorized official is Rosa Maria Huguet .
The authorized official title is Medical Director/owner and has the following contact phone number (305) 262-5476.

The CLIA number assigned to this NPI record is 10D2083727 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/22/2014 and was last updated on 9/22/2014.


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
1208D00000XGeneral PracticeYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1I-18049MEDICARE UPINPUERTO RICO
20022712MEDICARE PINPUERTO RICO

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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