INTERNATIONAL MEDICAL CENTER HMO LLC


Address: 10 Nw 42nd Ave, Suite # 600, Miami, FL 33126-5473
Phone: 3056440977

INTERNATIONAL MEDICAL CENTER HMO LLC (NPI# 1912322777) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1912322777
Entity Type Organization
Organization Name INTERNATIONAL MEDICAL CENTER HMO LLC
Practice Address 10 Nw 42nd Ave
Suite # 600
Miami
FL 33126-5473
Practice Telephone 3056440977
Practice Fax Number 3056440114
Mailing Telephone 3056440977
Mailing Fax Number 3056440114
Enumeration Date 2014-03-03
Last Update Date 2014-03-03
Authorized Official Name LARRY DE JESUS (OWNER)
Authorized Official Telephone 3056440977
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 302F00000X Exclusive Provider Organization ========= FL Managed Care Organizations

Office Location

Street Address 10 NW 42ND AVE
SUITE # 600
City MIAMI
State FL
Zip Code 33126-5473

Providers in the same location

NPI Name Taxonomy Address Enumeration
1902879679 Millennium Rehab Center Inc Clinic/Center 10 Nw 42nd Ave, Miami, FL 33126-5473 2006-02-10
1194261677 Umd Center Inc Internal Medicine 10 Nw 42nd Ave, Miami, FL 33126-5473 2017-01-09
1295193688 Olinka Rodriguez Social Worker 10 Nw 42nd Ave, Suite 500, Miami, FL 33126-5473 2016-02-01
1770941155 Liz De Las Cuevas Social Worker 10 Nw 42nd Ave, Suite 500, Miami, FL 33126-5473 2016-02-01
1922466317 Lorena Urrutia Social Worker 10 Nw 42nd Ave, Miami, FL 33126-5473 2016-02-01
1649638024 Yanitza Morales Social Worker 10 Nw 42nd Ave, Suite 500, Miami, FL 33126-5473 2016-02-01
1588022966 Claudia Mellado Counselor 10 Nw 42nd Ave, Suite 500, Miami, FL 33126-5473 2016-02-01
1285015479 Erika Lugo Counselor 10 Nw 42nd Ave, Suite 400, Miami, FL 33126-5473 2015-06-12
1104207307 Jesus Tormo Jr. Counselor 10 Nw 42nd Ave, Suite 500, Miami, FL 33126-5473 2015-06-12
1003295536 Lianett Perez Social Worker 10 Nw 42nd Ave, Suite 500, Miami, FL 33126-5473 2015-05-29
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1174122956 Lissue Rodriguez Miranda Behavior Technician 296 Norhwest Dr, Miami, FL 33126 2020-10-22
1669086534 Dayami Villavicencio Behavior Technician 300nw 40th Ct, Miami, FL 33126 2020-09-08
1013526888 Yanira Rey Behavior Technician 4550 Nw 9th St, Apt 701, Miami, FL 33126 2020-07-28
1215575782 Ana Rita Franco Marriage & Family Therapist 6303 Blue Lagoon Dr. #400, Miami, FL 33126 2019-12-16
1417590084 Grisel De La Fe Perez Nurse Practitioner 740 Nw 45th Ave, Miami, FL 33126 2019-10-25
1912471889 Ashley Marie Dominguez Counselor 5201 Blue Lagoon Dr # 891, Miami, FL 33126 2019-01-14
1295227346 Rita Caridad Rodriguez Behavior Technician Bett-er Support & Service Inc., 815 Nw 57 Avenue Ste 114, Miami, FL 33126 2018-06-05
1992296693 Ana Isabel Escobar Martinez Behavior Technician 8045 Nw 7th St Apt 404, Miami, FL 33126 2018-05-29
1073004362 Edelmis Estevez Rodriguez Behavior Technician 266 Nw 40th Ct, Miami, FL 33126 2018-05-23
1003304478 Md Now Medical Centers Inc Clinic/Center 150 Nw 42nd Ave, Miami, FL 33126 2018-05-01
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Taxonomy Information

Taxonomy Code 302F00000X
Grouping Managed Care Organizations
Classification Exclusive Provider Organization

Taxonomy Definition

(1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations.
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. 15; (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; (3) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.

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1588188445 Partners In Health Care Management LLC Exclusive Provider Organization 13818 Sw 152 Street, 387, Miami, FL 33186 2017-08-01
1912435264 Southeast Physician Associates 1, LLC. Exclusive Provider Organization 10621 N Kendall Dr Ste 211, Miami, FL 33176-1530 2017-05-31
1750833919 Icare Health Solutions Exclusive Provider Organization 7352 Nw 34 St, Miami, FL 33122-1266 2016-11-03
1508242876 Dade County Dental Research Center Exclusive Provider Organization 750 Nw 20th St # G-110, Miami, FL 33127-4618 2015-08-10
1225413115 Professional Healhcare Management Group, LLC Exclusive Provider Organization 6341 Sw 16th Ter, Miami, FL 33155-1905 2015-07-21
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City MIAMI
Zip Code 33126

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Dataset Information

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.

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