PRIMECARE MEDICAL MANAGEMENT (NPI# 1093159485) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093159485 |
| Entity Type | Organization |
| Organization Name | PRIMECARE MEDICAL MANAGEMENT |
| Practice Address |
4131 Sw 6th St Coral Gables FL 33134-2057 |
| Practice Telephone | 3054422228 |
| Practice Fax Number | 3054422207 |
| Mailing Telephone | 3054422228 |
| Mailing Fax Number | 3054422207 |
| Enumeration Date | 2013-04-29 |
| Last Update Date | 2013-04-29 |
| Authorized Official Name | MR. RENE CASANOVA (PRESIDENT) |
| Authorized Official Telephone | 3054422228 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305S00000X | Point of Service | ME78770 | FL | Managed Care Organizations |
| Street Address |
4131 SW 6TH ST |
| City | CORAL GABLES |
| State | FL |
| Zip Code | 33134-2057 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245413905 | Lazaro Fraga Md Pa | Pediatrics | 4131 Sw 6th St, Coral Gables, FL 33134-2057 | 2007-12-17 |
| 1447793914 | Idelis Martinez | Nurse Practitioner | 4131 Sw 6th St, Coral Gables, FL 33134-2057 | 2016-11-30 |
| 1710434485 | Primecare Family Centers Corp | Pediatrics | 4131 Sw 6th St, Coral Gables, FL 33134-2057 | 2016-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477179794 | Aubree Udell | Behavior Technician | 1500 Douglas Rd., Suite 230, Coral Gables, FL 33134 | 2020-06-23 |
| 1346880481 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 1906 Ponce De Leon Boulvard, Coral Gables, FL 33134 | 2020-01-07 |
| 1306494406 | Giselle Gutierrez | Dermatology | 401 Coral Way, Suite 207, 401 Coral Way Suite 207, Coral Gables, FL 33134 | 2019-09-01 |
| 1376190363 | Jessica Fishel | Behavior Technician | 1500 Douglas Rd., Suite 230, Coral Gables, FL 33134 | 2019-08-23 |
| 1962057380 | Ariel Betancourt | Behavior Technician | 3905 West Flagler St, Apt# 6, Miami, FL 33134 | 2019-08-02 |
| 1023662574 | April Gonzalez | Physical Therapy Assistant | 1500 Dougla Rd, Coral Gables, FL 33134 | 2019-08-01 |
| 1255999678 | Arturo Corces Md Pa | Orthopaedic Surgery | 747 Ponce Deleon Blvd, Ste 505, Coral Gables, FL 33134 | 2019-05-31 |
| 1386200673 | Life Bridge Community Center | Case Management | 5246 Sw 8th St Ste 205c, Miami, FL 33134 | 2019-05-13 |
| 1083187884 | Sun Health Care Inc | Clinic/Center | 3990 West Flagler Street, Suite 406, Miami, FL 33134 | 2019-01-04 |
| 1902389471 | Jamie Lynn Innis | Physician Assistant | 314 Romano Ave, Coral Gables, FL 33134 | 2018-09-11 |
| Find all providers in zip 33134 | ||||
| Taxonomy Code | 305S00000X |
| Grouping | Managed Care Organizations |
| Classification | Point of Service |
| 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. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427597780 | Falconradusa ( D/b/a Telefalcon Radiology) | Point of Service | 219 Menores Ave Apt 3, Coral Gables, FL 33134-3945 | 2017-02-20 |
| 1386910131 | Eugene Leslie Komrad | Point of Service | 600 Biltmore Way Ph 109, Ph109, Coral Gables, FL 33134-7535 | 2012-03-27 |
| 1740592609 | Gil Fernandez-yera,md,pa | Point of Service | 3971 Sw 8th St Ste 201, Coral Gables, FL 33134-2950 | 2010-07-08 |
| 1053548677 | Celestial Services | Point of Service | 300 Almeria Ave # C1, Coral Gables, FL 33134-5812 | 2009-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528666146 | Tashiana Kelly | Point of Service | 2611 University Blvd N Apt C203, Jacksonville, FL 32211-3287 | 2020-10-15 |
| 1184236192 | Blu Dog Solutions LLC | Point of Service | 8801 Hunters Lake Dr Apt 922, Tampa, FL 33647-2858 | 2020-08-20 |
| 1235747239 | The Minority Alliance for Advocating Community Awareness and Action, I | Point of Service | 1720 S Gadsden St Ste 223, Tallahassee, FL 32301-5506 | 2020-07-16 |
| 1760009831 | National Ancillary Network Solutions, LLC | Point of Service | 1117 Pinellas Bayway S. #307, St. Petersburg, FL 33715 | 2020-07-06 |
| 1427686559 | Bsms Pembroke LLC | Point of Service | 12592 Pines Blvd, Pembroke Pines, FL 33027-1760 | 2020-04-01 |
| 1447897590 | Horizon Health Management & Consulting Group of Florida | Point of Service | 7826 W Irlo Bronson Memorial Hwy, Kissimmee, FL 34747-1735 | 2019-12-09 |
| 1467095604 | Kelley Sgroi Lmhc, LLC | Point of Service | 252 W Marion Ave Ste 1134, Punta Gorda, FL 33950-4442 | 2019-10-21 |
| 1972163079 | Numethodsmd LLC | Point of Service | 5975 Sunset Dr Ste 605, South Miami, FL 33143-5174 | 2019-06-19 |
| 1619537313 | Priority Imaging | Point of Service | 880 Nw 13th St Ste 101, Boca Raton, FL 33486-2342 | 2019-06-17 |
| 1902364813 | Advance Medical & Administrative Support Usa LLC | Point of Service | 5940 Pelican Bay Plz S Apt 306, Gulfport, FL 33707-3956 | 2019-03-10 |
| Find all providers with the same taxonomy | ||||
| City | CORAL GABLES |
| Zip Code | 33134 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.