INTEGRATED COMPREHENSIVE URGENT CARE, LLC.
NPI 1790442515
Pharmacy - Clinic Pharmacy in Miami, FL

NPI Status: Active since November 29, 2021

Contact Information

9090 SW 87TH CT STE 100
MIAMI, FL
ZIP 33176
Phone: (305) 456-7951
Fax: (305) 554-6472

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  • Organization
  • Pharmacy
  • Clinic Pharmacy
  • CLIA Number: 10D2202672
  • CLIA Cert. Type: Other - URGENT CARE MEDICAL OFC
  • CLIA Exp. Date: 11-29-2026

About INTEGRATED COMPREHENSIVE URGENT CARE, LLC.

This page provides the complete NPI Profile along with additional information for Integrated Comprehensive Urgent Care, Llc., a provider established in Miami, Florida operating as a Pharmacy, focusing in clinic pharmacy . The healthcare provider is registered in the NPI registry with number 1790442515 assigned on November 2021. The practitioner's primary taxonomy code is 3336C0002X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Wilfred Braceras (President)

NPI
1790442515
Provider Name
INTEGRATED COMPREHENSIVE URGENT CARE, LLC.
Entity Type
Organization
Location Address
9090 SW 87TH CT STE 100 MIAMI, FL 33176
Location Phone
(305) 456-7951
Location Fax
(305) 554-6472
Mailing Address
9090 SW 87TH CT STE 100 MIAMI, FL 33176
Mailing Phone
(305) 456-7951
Mailing Fax
(305) 554-6472
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-29-2021
Last Update Date
11-29-2021
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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

Pharmacy Clinic Pharmacy

Taxonomy Code
3336C0002X
Type
Suppliers
Taxonomy Description
A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.

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

WILFRED BRACERAS

Authorized Official Title
PRESIDENT
Authorized Official Phone
(305) 883-8488

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
10D2202672
Facility Type
Other - URGENT CARE MEDICAL OFC
Certificate Effective Date
November 30, 2024
Certificate Expiration Date
November 29, 2026
Laboratory Director
JEFFREY A. LOMAN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Integrated Comprehensive Urgent Care, Llc. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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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 1790442515, we treat the final digit (5) 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 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

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
7
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
0
Unchanged
Pos 5
4
Doubled → 8
Pos 6
4
Unchanged
Pos 7
2
Doubled → 4
Pos 8
5
Unchanged
Pos 9
1
Doubled → 2
Check
5
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 9 → 18 → 9 4 → 8 2 → 4 1 → 2

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 1 + 8 + 0 + 8 + 4 + 4 + 5 + 2 + 24 = 65

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

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1790442515.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790442515, enumerated as an "organization" on November 29, 2021.

The provider is located at 9090 SW 87TH CT STE 100 MIAMI, FL 33176 and the phone number is (305) 456-7951.

Pharmacy with taxonomy code 3336C0002X and a focus in Clinic Pharmacy.