MEDGROUP MEDICAL CENTER LLC – NPI #1619584521
Clinic/Center

MEDGROUP MEDICAL CENTER LLC is an AHC clinic located in HIALEAH, FL. NPPES has assigned the NPI number 1619584521 to MEDGROUP MEDICAL CENTER LLC on September 24, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QA0600X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Adult Day Care

The NPI profile was previously updated about 3 years ago on Oct 04, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MEDGROUP MEDICAL CENTER LLC below.

NPI Profile for
MEDGROUP MEDICAL CENTER LLC

NPI Number
1619584521
Enumeration Date

(more than 5 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MEDGROUP MEDICAL CENTER LLC
Primary location
2150 W 68TH ST STE 100
HIALEAH, FL 33016-1802
Phone: (305) 854-4443 Fax:
1 Other location(s):
2150 W 68th St Ste 102
Hialeah Gardens, FL 33016-1802
Phone: (305) 434-4546
Fax: (786) 907-4630
Mailing address
2150 W 68TH ST STE 102
HIALEAH, FL 33016-1802
Phone: (305) 854-4443 Fax:
Organization Subpart
No
Authorized Official
SANTIAGO VERA
MGRM
Phone: (305) 761-6685
Updated
Certification Date
Oct 04, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA0600X
- Clinic/Center / Adult Day Care (Primary)
261Q00000X
- Clinic/Center

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.