STAR MEDICAL CLINIC, INC. (NPI# 1043525819) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043525819 |
| Entity Type | Organization |
| Organization Name | STAR MEDICAL CLINIC, INC. |
| Practice Address |
6112 Nw 7th Ave Miami FL 33127-1112 |
| Practice Telephone | 7863602381 |
| Practice Fax Number | 3054564066 |
| Mailing Telephone | 7863602381 |
| Mailing Fax Number | 3054564066 |
| Enumeration Date | 2010-08-17 |
| Last Update Date | 2010-08-17 |
| Authorized Official Name | MR. LARRY WHITFIELD JR. (PRESDIENT (CEO)) |
| Authorized Official Telephone | 4438045364 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305R00000X | Preferred Provider Organization | FL | Managed Care Organizations |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 269915000 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | STAR MEDICAL CLINIC, INC. | 605 Se Propect, Chehalis, WA 98532 |
| Street Address |
6112 NW 7TH AVE |
| City | MIAMI |
| State | FL |
| Zip Code | 33127-1112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215598081 | Juan Carlos Martinez | Registered Nurse | 6112 Nw 7th Ave, Miami, FL 33127-1112 | 2019-06-24 |
| 1710378120 | Martin Luther King Renal Institute, LLC. | Clinic/Center | 6112 Nw 7th Ave, Miami, FL 33127-1112 | 2015-02-08 |
| 1528319514 | Liberty City Health and Wellness Center | Internal Medicine | 6112 Nw 7th Ave, Miami, FL 33127-1112 | 2012-10-01 |
| 1679835821 | Liberty City Community Health Center, Inc. | Internal Medicine | 6112 Nw 7th Ave, Miami, FL 33127-1112 | 2012-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609410950 | Johana Correa | Behavior Technician | 3360 Nw 11th Pl Apt 103, Miami, FL 33127 | 2019-10-30 |
| 1639728827 | Sanctuary Therapeutic Counseling Services | Social Worker | 3246 N. Miami Avenue Suite A, #370585, Miami, FL 33127 | 2019-09-10 |
| 1811545825 | William M. Colson IIi | Technician | 5601 Nw 2nd Ave., 702, Miami, FL 33127 | 2019-09-03 |
| 1932613064 | Jose Luis Erice Lafont | Behavioral Analyst | 5715 Nw 2nd Ave Apt 806, Miami, FL 33127 | 2017-11-28 |
| 1134631658 | Ania Diaz | Behavior Technician | 2525 Nw 10th Ave Apt 206, Miami, FL 33127 | 2017-10-25 |
| 1891212056 | Amonise Creed | Massage Therapist | 94 Nw 50 Street, Miami, FL 33127 | 2017-08-28 |
| 1912423237 | Rakevia Lakeisha Mcknight | Lactation Consultant, Non-RN | 740 Nw 31st Street, Miami, FL 33127 | 2017-08-17 |
| 1902252380 | Las Palmas Alf, Corp | Assisted Living Facility | 1170 N.w. 26 St., Miami, FL 33127 | 2016-05-04 |
| 1861861668 | Borinquen Health Care Center Inc | Clinic/Center | 6161 Nw 5 Court, Miami Edison Senior High, Miami, FL 33127 | 2015-09-22 |
| 1225407026 | Borinquen Health Care Center Inc | Clinic/Center | 6101 Nw 2 Avenue, Itech @ Thomas A. Edison High, Miami, FL 33127 | 2015-09-22 |
| Find all providers in zip 33127 | ||||
| Taxonomy Code | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| 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 |
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|---|---|---|---|---|
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| 1174901839 | Dr Emerson Valdez Dpm LLC | Preferred Provider Organization | 351 Nw 42nd Ave Ste 315, Miami, FL 33126-5688 | 2015-05-14 |
| 1588050231 | Optimus Management Services LLC | Preferred Provider Organization | 10899 Sw 72nd St Ste 203, Miami, FL 33173-2722 | 2015-04-09 |
| 1366833568 | Acupuncture and Alternative Medicine Clinic | Preferred Provider Organization | 13310 Sw 128th St, Miami, FL 33186-5899 | 2015-02-09 |
| 1629358270 | Doctor's Managment Service Group, Inc. | Preferred Provider Organization | 7005 N Waterway Dr, #306, Miami, FL 33155-2833 | 2011-08-26 |
| 1336433648 | Lumarhealthcareservices.inc | Preferred Provider Organization | 4595 Sw 139th Ct Apt A, Miami, FL 33175-4454 | 2011-06-03 |
| 1396043139 | Rafael Carralero | Preferred Provider Organization | 14231 Sw 121st Pl, Miami, FL 33186-6077 | 2011-03-02 |
| 1710287644 | M.q. Health Compliance, Inc. | Preferred Provider Organization | 330 Sw 27th Ave Ste 504, Miami, FL 33135-2967 | 2010-10-26 |
| 1760625925 | Lexis Professional Service Inc | Preferred Provider Organization | 8770 Sunset Dr, Suite 512, Miami, FL 33173-3512 | 2009-04-16 |
| 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.