Provider Demographics
NPI:1619065810
Name:PRIME MEDICAL CARE INC
Entity Type:Organization
Organization Name:PRIME MEDICAL CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO AND OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CESAR
Authorized Official - Middle Name:JOSE
Authorized Official - Last Name:VALDESUSO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-858-9997
Mailing Address - Street 1:232 SW 8TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33130-3514
Mailing Address - Country:US
Mailing Address - Phone:305-858-9997
Mailing Address - Fax:305-858-7577
Practice Address - Street 1:232 SW 8TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33130-3514
Practice Address - Country:US
Practice Address - Phone:305-858-9997
Practice Address - Fax:305-858-7577
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-11
Last Update Date:2008-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1565834332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL0619210001Medicare NSC