MEDICA HEALTHCARE PLANS, INC
NPI 1285724286
Clinic/Center - Primary Care in Hialeah, FL

NPI Status: Active since October 13, 2006

Contact Information

1905 WEST 35 ST
SUITE 105
HIALEAH, FL
ZIP 33012
Phone: (305) 519-6090

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  • Organization
  • Clinic/Center
  • Primary Care

About MEDICA HEALTHCARE PLANS, INC

This page provides the complete NPI Profile along with additional information for Medica Healthcare Plans, Inc, a primary care provider established in Hialeah, Florida operating as a Clinic/center, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1285724286 assigned on October 2006. The practitioner's primary taxonomy code is 261QP2300X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Mr. Eduardo Rubio (Director)

NPI
1285724286
Provider Name
MEDICA HEALTHCARE PLANS, INC
Entity Type
Organization
Location Address
1905 WEST 35 ST SUITE 105 HIALEAH, FL 33012
Location Phone
(305) 519-6090
Mailing Address
4060 SW 152ND AVE MIRAMAR, FL 33027
Mailing Phone
(305) 519-6090
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-13-2006
Last Update Date
08-22-2020
Code Navigator

A primary care provider (PCP) like Medica Healthcare Plans, Inc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Primary Care

Taxonomy Code
261QP2300X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. EDUARDO RUBIO

Authorized Official Title
DIRECTOR
Authorized Official Phone
(305) 519-6090

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1285724286, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
5
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
2
Unchanged
Pos 7
4
Doubled → 8
Pos 8
2
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 7 → 14 → 5 4 → 8 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 1 + 6 + 5 + 1 + 4 + 2 + 8 + 2 + 1 + 6 + 24 = 64

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 64 is 70. The difference is the calculated check digit.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1285724286.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285724286, enumerated as an "organization" on October 13, 2006.

The provider is located at 1905 WEST 35 ST SUITE 105 HIALEAH, FL 33012 and the phone number is (305) 519-6090.

Clinic/Center with taxonomy code 261QP2300X and a focus in Primary Care.