EMMANUEL MEDICAL CENTER LLC – NPI #1164790986
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

EMMANUEL MEDICAL CENTER LLC is a provider located in MIAMI, FL. NPPES has assigned the NPI number 1164790986 to EMMANUEL MEDICAL CENTER LLC on December 07, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

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 EMMANUEL MEDICAL CENTER LLC below.

NPI Profile for
EMMANUEL MEDICAL CENTER LLC

NPI Number
1164790986
Enumeration Date

(more than 14 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
EMMANUEL MEDICAL CENTER LLC
Primary location
10613 HAMMOCKS BLVD., #212
MIAMI, FL 33196
Phone: (954) 424-1873 Fax: (954) 200-7814
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JULIAN GUERRERO
MEDICAL DOCTOR
Phone: (954) 424-1873
Updated
Identifiers

Identifiers for EMMANUEL MEDICAL CENTER LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERMEDICAREFLAE622Y
MEDICAIDFL278912400
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
208D00000X
- General Practice (Primary)
FL ACN223

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.