LCC MEDICAL GROUP, CORP (NPI# 1386041408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386041408 |
| Entity Type | Organization |
| Organization Name | LCC MEDICAL GROUP, CORP |
| Practice Address |
1150 Nw 72nd Ave Ste 620 Miami FL 33126-1921 |
| Practice Telephone | 3054032221 |
| Practice Fax Number | 3054032262 |
| Mailing Telephone | 3054032221 |
| Mailing Fax Number | 3054032262 |
| Enumeration Date | 2014-12-04 |
| Last Update Date | 2014-12-04 |
| Authorized Official Name | MS. VIVIAN SALINAS (PRESIDENT) |
| Authorized Official Telephone | 3054032221 |
| Authorized Official Credential | ARNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
ARNP9311339 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
ARNP9311339 | FL | Ambulatory Health Care Facilities |
| Street Address |
1150 NW 72ND AVE STE 620 |
| City | MIAMI |
| State | FL |
| Zip Code | 33126-1921 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811321805 | Lcc Medical Research Institute, LLC | Specialist | 1150 Nw 72nd Ave Ste 620, Miami, FL 33126-1921 | 2013-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174122956 | Lissue Rodriguez Miranda | Behavior Technician | 296 Norhwest Dr, Miami, FL 33126 | 2020-10-22 |
| 1669086534 | Dayami Villavicencio | Behavior Technician | 300nw 40th Ct, Miami, FL 33126 | 2020-09-08 |
| 1013526888 | Yanira Rey | Behavior Technician | 4550 Nw 9th St, Apt 701, Miami, FL 33126 | 2020-07-28 |
| 1215575782 | Ana Rita Franco | Marriage & Family Therapist | 6303 Blue Lagoon Dr. #400, Miami, FL 33126 | 2019-12-16 |
| 1417590084 | Grisel De La Fe Perez | Nurse Practitioner | 740 Nw 45th Ave, Miami, FL 33126 | 2019-10-25 |
| 1912471889 | Ashley Marie Dominguez | Counselor | 5201 Blue Lagoon Dr # 891, Miami, FL 33126 | 2019-01-14 |
| 1295227346 | Rita Caridad Rodriguez | Behavior Technician | Bett-er Support & Service Inc., 815 Nw 57 Avenue Ste 114, Miami, FL 33126 | 2018-06-05 |
| 1992296693 | Ana Isabel Escobar Martinez | Behavior Technician | 8045 Nw 7th St Apt 404, Miami, FL 33126 | 2018-05-29 |
| 1073004362 | Edelmis Estevez Rodriguez | Behavior Technician | 266 Nw 40th Ct, Miami, FL 33126 | 2018-05-23 |
| 1003304478 | Md Now Medical Centers Inc | Clinic/Center | 150 Nw 42nd Ave, Miami, FL 33126 | 2018-05-01 |
| Find all providers in zip 33126 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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| 1922575133 | University Health Care West Kendall, Inc. | Clinic/Center | 13611 Sw 131 Street, Miami, FL 33186 | 2018-10-25 |
| 1073007290 | Yaima Bonet, Arnp, Inc | Clinic/Center | 8080 W Flagler St Ste 2b, Miami, FL 33144-2100 | 2018-06-20 |
| 1902301658 | Family Medicine Home Visits Inc | Clinic/Center | 1898 Sw 27th Ave Ste 1, Miami, FL 33145-2445 | 2018-03-26 |
| 1639622293 | Jm Health Services Inc | Clinic/Center | 12707 Sw 225th St, Miami, FL 33170-4400 | 2016-08-01 |
| 1124476387 | Pmc Medical Management, LLC | Clinic/Center | 80 Sw 8th St Ste 2000, Miami, FL 33130-3038 | 2016-05-28 |
| 1073974838 | Professional Overweight Control | Clinic/Center | 1830 Nw 7th St Ste 1004, Miami, FL 33125-3569 | 2016-03-08 |
| Find all providers in MIAMI | ||||
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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.