CLINICAL CARE MEDICAL CENTERS – NPI #1962934067
General Practice

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

CLINICAL CARE MEDICAL CENTERS is a provider located in MIAMI, FL. NPPES has assigned the NPI number 1962934067 to CLINICAL CARE MEDICAL CENTERS on March 29, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CLINICAL CARE MEDICAL CENTERS” is a dba name, the actual legal business name for this organization is MIAMI BEACH MEDICAL CONSULTANTS LLC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was previously updated about 3 years ago on Oct 30, 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 CLINICAL CARE MEDICAL CENTERS below.

NPI Profile for
MIAMI BEACH MEDICAL CONSULTANTS LLC

NPI Number
1962934067
Enumeration Date

(more than 9 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
MIAMI BEACH MEDICAL CONSULTANTS LLC
Doing Business As (dba): CLINICAL CARE MEDICAL CENTERS
Primary location
7500 SW 8TH ST
SUITE 101-103
MIAMI, FL 33144-4400
Phone: (305) 534-0076 Fax:
Mailing address
1400 NW 107TH AVE STE 500
SWEETWATER, FL 33172-2746
Phone: (305) 534-0076 Fax:
Organization Subpart
No
Authorized Official
JOSE SUAREZ
CMO
Phone: (305) 534-0076
Updated
Certification Date
Oct 30, 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.

Identifiers

Identifiers for CLINICAL CARE MEDICAL CENTERS

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
OTHERMEDICARE PTAN DR.DE LEONFLGK944Z
OTHERMEDICARE PTAN DR.DUMENIGOFL11761R
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)
207RC0000X
- Internal Medicine / Cardiovascular Disease
FL ME58111
207R00000X
- Internal Medicine
207Q00000X
- Family Medicine

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.