MEDICA HEALTHCARE PLANS, INC. (NPI# 1609101450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609101450 |
| Entity Type | Organization |
| Organization Name | MEDICA HEALTHCARE PLANS, INC. |
| Practice Address |
4000 Ponce De Leon Blvd 650 Coral Gables FL 33146-1431 |
| Practice Telephone | 3054600600 |
| Practice Fax Number | 3054600613 |
| Mailing Telephone | 3054600600 |
| Mailing Fax Number | 3054600613 |
| Enumeration Date | 2009-10-13 |
| Last Update Date | 2010-06-03 |
| Authorized Official Name | MR. MARTIN PEREZ (CFO) |
| Authorized Official Telephone | 3054600614 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 302R00000X | Health Maintenance Organization | FL | Managed Care Organizations |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | CONTRACT ID | H5420 | 01 |
| Street Address |
4000 PONCE DE LEON BLVD 650 |
| City | CORAL GABLES |
| State | FL |
| Zip Code | 33146-1431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861593352 | Carlos Octavio Fernandez | Spec/Tech, Cardiovascular | 4000 Ponce De Leon Blvd, Suite #470, Coral Gables, FL 33146-1431 | 2006-09-26 |
| 1154657260 | Medica Health Plans of Florida, Inc. | Health Maintenance Organization | 4000 Ponce De Leon Blvd, Ste 650, Coral Gables, FL 33146-1431 | 2009-10-23 |
| 1821285941 | Access Hometherapy Inc | Occupational Therapist | 4000 Ponce De Leon Blvd, #470, Coral Gables, FL 33146-1431 | 2007-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932751427 | Megan Gabrielle Mcleod | Dietitian, Registered | 5821 San Amaro Drive, Coral Gables, FL 33146 | 2019-07-15 |
| 1225596919 | Cami Cyan Marshall | Specialist/Technologist | Knight Sports Complex, 5821 San Amaro Drive, Coral Gables, FL 33146 | 2019-03-12 |
| 1225596224 | Daniel Rodriguez | Specialist/Technologist | Knight Sport Complex, 5821 San Amaro Dr, Coral Gables, FL 33146 | 2019-03-08 |
| 1134687122 | Nicholas Rice | Specialist/Technologist | Knight Sports Complex, 5821 San Amaro Dr, Coral Gables, FL 33146 | 2019-03-08 |
| 1396222436 | Julienne Cave | Nurse Practitioner | 4425 Ponce De Leon Blvd Ste 200, Coral Gables, FL 33146 | 2018-07-22 |
| 1891245379 | Michelle Marie Penaranda | Nurse Practitioner | 1299 Theo Dickinson Dr, Coral Gables, FL 33146 | 2016-10-10 |
| 1629526116 | Joanna Vidal | Developmental Therapist | 1550 S Dixie Highway, Suite 203, Coral Gables, FL 33146 | 2016-09-14 |
| 1801265970 | Borinquen Health Care Center Inc | Clinic/Center | 5801 Augusto Street, Ponce De Leon Middle, Coral Gables, FL 33146 | 2015-09-18 |
| 1962898106 | Kshitij Manchanda | Orthopaedic Surgery | 1150 Campo Sano Ave, 2nd Floor, Attn: Maria Claudia Corrandine, Coral Gables, FL 33146 | 2015-04-14 |
| 1437584455 | Amanda C Pina | Occupational Therapist | 3150 Sw 38 Avenue, Suite. 600, Miami, FL 33146 | 2013-09-10 |
| Find all providers in zip 33146 | ||||
| Taxonomy Code | 302R00000X |
| Grouping | Managed Care Organizations |
| Classification | Health Maintenance Organization |
| (1) A form of health insurance in which its members prepay a premium for the HMO’s health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model. |
| Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 20; (2) "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. 58 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467934513 | Doctors Healthcare Plans, Inc | Health Maintenance Organization | 2020 Ponce De Leon Blvd Ste 901, Coral Gables, FL 33134 | 2018-09-05 |
| 1073905634 | Better Health, Inc. | Health Maintenance Organization | 1701 Ponce De Leon Blvd, Coral Gables, FL 33134-4416 | 2015-02-19 |
| 1922077650 | Dentaquest of Florida, Inc. | Health Maintenance Organization | 2100 Ponce De Leon Blvd, Suite 950, Coral Gables, FL 33134-5215 | 2006-03-15 |
| 1568985109 | Roadmap Healthcare | Health Maintenance Organization | 2980 Mcfarlane Rd, Coral Gables, FL 33133-6030 | 2017-07-25 |
| 1619269305 | Tamayo Medical Center Inc | Health Maintenance Organization | 5200 Sw 8th St, Suite 201a, Coral Gables, FL 33134-2300 | 2011-05-12 |
| 1598074569 | Presalud Medical Center Inc | Health Maintenance Organization | 4800 Sw 8th St, Coral Gables, FL 33134-2523 | 2010-09-24 |
| 1104148477 | Ache-free Body, Inc. | Health Maintenance Organization | 4343 W Flagler St, Suite 506, Coral Gables, FL 33134-1586 | 2010-02-26 |
| 1578893624 | Simply Healthcare Plans, Inc | Health Maintenance Organization | 2121 Ponce De Leon Blvd, Suite 500, Coral Gables, FL 33134-5224 | 2010-01-12 |
| 1154657260 | Medica Health Plans of Florida, Inc. | Health Maintenance Organization | 4000 Ponce De Leon Blvd, Ste 650, Coral Gables, FL 33146-1431 | 2009-10-23 |
| 1285832097 | Preferred Medical Plan | Health Maintenance Organization | 4950 Sw 8th St, Coral Gables, FL 33134-2400 | 2007-07-03 |
| Find all providers in CORAL GABLES | ||||
| City | CORAL GABLES |
| Zip Code | 33146 |
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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.