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IDEAL CARE MEDICAL CENTER INC.
NPI 1336747179
Family Medicine in Greenacres, FL

Active since October 14, 2020CLIA 10D2204701 · Waiver
2188 S JOG RD, GREENACRES, FL 33415(561) 429-3777(561) 429-3565 Get Directions Write a Review

NPPES record last updated: October 14, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ideal Care Medical Center Inc. NPPES

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

IDEAL CARE MEDICAL CENTER INC. (NPI 1336747179) is a healthcare organization registered as a family medicine in Greenacres, Florida and active in the NPI registry since October 2020. The organization holds a CLIA Waiver certificate valid through December 9, 2026 and lists Eduar Miguel Rios, President, as its authorized official.

NPPES Registry Identity

NPI1336747179
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameIDEAL CARE MEDICAL CENTER INC.
Location Address2188 S JOG RDGreenacres, FL 33415-6101
Mailing Address2188 S Jog RdGreenacres, FL 33415-6101 · (305) 300-6447
Phone(561) 429-3777
Fax(561) 429-3565
Organization SubpartNo
Authorized OfficialEduar Miguel RiosPresident · (561) 429-3777
Enumeration DateOctober 14, 2020
NPPES CertifiedOctober 5, 2020
✔ NPI 1336747179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
2188 S JOG RD, Greenacres, FL 33415
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

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 10D2204701

Ideal Care Medical Center Inc · Green Acres, FL
Active · expires Dec 9, 2026
CLIA Number10D2204701
Laboratory TypePhysician Office
Certificate Effective DateDecember 10, 2024
Certificate Expiration DateDecember 9, 2026
Laboratory DirectorIvette Lopez
Laboratory Phone(561) 429-3777
Laboratory LocationIdeal Care Medical Center Inc2188 S Jog Road, Green Acres, FL 33415
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

DR. JERISA BERRY D.O.
Emergency Medicine
2188 S JOG RD
GREENACRES, FL 33415
Palm Beach County (561) 429-3777

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 Ideal Care Medical Center Inc.'s NPI number?

The NPI number for Ideal Care Medical Center Inc. is 1336747179. It was assigned to this organization in the NPPES registry on October 14, 2020.

Where is Ideal Care Medical Center Inc. located?

Ideal Care Medical Center Inc. is located at 2188 S Jog Rd, Greenacres, FL 33415. The listed phone number is (561) 429-3777.

What is Ideal Care Medical Center Inc.'s specialty?

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

Does Ideal Care Medical Center Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2204701) is associated with this NPI, valid through December 9, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Ideal Care Medical Center Inc. was last updated on October 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.