PRIME CARE MEDICAL CENTER LLC
NPI 1366298986
Family Medicine in Miami Lakes, FL

Active since April 25, 2024CLIA 10D2307429 · Waiver
5612 NW 167TH ST, MIAMI LAKES, FL 33014(786) 238-7261 Get Directions Write a Review

NPPES record last updated: February 4, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 4, 2026, Apr 25, 2024 (2 updates tracked since 2024).

About Prime Care Medical Center Llc NPPES

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

PRIME CARE MEDICAL CENTER LLC (NPI 1366298986) is a healthcare organization registered as a family medicine in Miami Lakes, Florida and active in the NPI registry since April 2024. The organization holds a CLIA Waiver certificate valid through July 8, 2028 and lists Andy Garcia, President, as its authorized official.

NPPES Registry Identity

NPI1366298986
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePRIME CARE MEDICAL CENTER LLC
Location Address5612 NW 167TH STMiami Lakes, FL 33014-6135
Mailing Address5881 Nw 151st St Ste 210Miami Lakes, FL 33014-2456 · (786) 879-0856
Organization SubpartNo
Authorized OfficialAndy GarciaPresident · (786) 879-0856
Enumeration DateApril 25, 2024
Last NPPES UpdateFebruary 4, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 4, 2026
✔ NPI 1366298986 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.
5612 NW 167TH ST, Miami Lakes, FL 33014

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Prime Care Medical Center Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Prime Care Medical Center LLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1760145197
567 E 19TH ST
Hialeah, FL 33013
(305) 215-5198
✔ PECOS6.1 mi
Pathology
NPI 1235165051
3920 SW 186TH WAY
Miramar, FL 33029
(321) 695-9472
✔ PECOS✔ Accepts Medicare7.4 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 10D2307429

Prime Care Medical Center LLC · Miami Lakes, FL
Active · expires Jul 8, 2028
CLIA Number10D2307429
Laboratory TypeHealthcare Clinic
Certificate Effective DateJuly 9, 2026
Certificate Expiration DateJuly 8, 2028
Laboratory DirectorRaja Moti Gidwani
Laboratory Phone(786) 879-0856
Laboratory LocationPrime Care Medical Center LLC5881 NW 151st St - Ste 210, Miami Lakes, FL 33014
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Prime Care Medical Center LLC's NPI number?

The NPI number for Prime Care Medical Center LLC is 1366298986. It was assigned to this organization in the NPPES registry on April 25, 2024.

Where is Prime Care Medical Center LLC located?

Prime Care Medical Center LLC is located at 5612 NW 167th St, Miami Lakes, FL 33014. The listed phone number is (786) 238-7261.

What is Prime Care Medical Center LLC's specialty?

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

Is Prime Care Medical Center LLC enrolled in Medicare?

Yes. Prime Care Medical Center LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Prime Care Medical Center LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Prime Care Medical Center LLC, in Nurse Practitioner and Pathology. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Prime Care Medical Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2307429) is associated with this NPI, valid through July 8, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Prime Care Medical Center LLC accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Molina Healthcare list Prime Care Medical Center LLC 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 Prime Care Medical Center LLC was last updated on February 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.