PREMIUM CARE DOCTORS CORP.
NPI 1174695449
Family Medicine in Hialeah, FL

Active since November 14, 2006CLIA 10D1085088 · Waiver
1816 E 4TH AVE, HIALEAH, FL 33010(305) 805-0012(305) 883-9003 Get Directions Write a Review

NPPES record last updated: August 3, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Premium Care Doctors Corp. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PREMIUM CARE DOCTORS CORP. (NPI 1174695449) is a healthcare organization registered as a family medicine in Hialeah, Florida and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through June 9, 2028 and lists Manuel Alfredo Galguera, President, as its authorized official.

NPPES Registry Identity

NPI1174695449
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePREMIUM CARE DOCTORS CORP.
Location Address1816 E 4TH AVEHialeah, FL 33010-3115
Mailing Address1816 E 4th AveHialeah, FL 33010-3115 · (305) 805-0012 · Fax (305) 883-9003
Fax(305) 883-9003
Organization SubpartNo
Authorized OfficialManuel Alfredo GalgueraPresident · (305) 805-0012
Enumeration DateNovember 14, 2006
Last NPPES UpdateAugust 3, 2023
NPPES CertifiedAugust 3, 2023
NPI 1174695449 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedPediatricsTaxonomy 208000000X
Also ListedPediatrics · Adolescent MedicineTaxonomy 2080A0000X
1816 E 4TH AVE, Hialeah, FL 33010

Other Identifiers 1

Medicaid258699100FL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D1085088

Premium Care Doctors Corp · Hialeah, FL
Active · expires Jun 9, 2028
CLIA Number10D1085088
Laboratory TypePhysician Office
Certificate Effective DateJune 10, 2026
Certificate Expiration DateJune 9, 2028
Laboratory DirectorManuel A. Galguera MD
Laboratory Phone(305) 805-0012
Laboratory LocationPremium Care Doctors Corp1816 East 4th Ave, Hialeah, FL 33010
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
1816 E 4TH AVE
HIALEAH, FL 33010
Pediatrics
1816 E 4TH AVE
HIALEAH, FL 33010

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Premium Care Doctors Corp.'s NPI number?

The NPI number for Premium Care Doctors Corp. is 1174695449. It was assigned to this organization in the NPPES registry on November 14, 2006.

Where is Premium Care Doctors Corp. located?

Premium Care Doctors Corp. is located at 1816 E 4th Ave, Hialeah, FL 33010. The listed phone number is (305) 805-0012.

What is Premium Care Doctors Corp.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Premium Care Doctors Corp. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D1085088) is associated with this NPI, valid through June 9, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Premium Care Doctors Corp. accept?

Health plans from Molina Healthcare list Premium Care Doctors Corp. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Premium Care Doctors Corp. was last updated on August 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.