{"npi":"1821667981","type":"NPI-2","status":"active","name":{"display":"Miami Beach Community Health Center INC","other":[],"organization_name":"MIAMI BEACH COMMUNITY HEALTH CENTER INC","authorised_official":"Lizel Gonzalez"},"specialty":{"primary_taxonomy":"261QF0400X","primary_taxonomy_description":"Federally Qualified Health Center","slug":"fqhc","schema_org_specialty":"PrimaryCare","all":[{"code":"251S00000X","description":"Community/Behavioral Health Agency","primary":false,"state":null,"license":null},{"code":"261QF0400X","description":"Federally Qualified Health Center","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"11645 BISCAYNE BLVD STE 100","city":"MIAMI","state":"FL","postal_code":"331813155","country_code":"US","phone":"3055388835","fax":"3059940054"},{"purpose":"MAILING","street_1":"11645 BISCAYNE BLVD STE 207","city":"MIAMI","state":"FL","postal_code":"331813138","country_code":"US","phone":"3055388835","fax":"3059940054"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"029544230","state":"FL","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20210730000137","type_code":"00-04","type_desc":"PART A PROVIDER - FEDERALLY QUALIFIED HEALTH CENTER (FQHC)","state":"FL","pac_id":"8123090925"}]},"enumeration_date":"2021-06-23","last_updated":"2025-10-29","_meta":{"source":"NPPES","snapshot_date":"2025-10-29","doc_url":"https://findmynpi.com/api"}}