# PATRICK MEDICAL CENTER, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376422113
- **Authorized official:** PATRICIA T ROQUE PEREIRA (PRESIDENT)
- **Authorized official phone:** (786) 716-0059

## Contact information

- **Practice address:** 6882 W FLAGLER ST, MIAMI, FL 33144-2814
- **Practice address phone:** (786) 350-6080
- **Mailing address:** 15585 SW 112TH WAY, MIAMI, FL 33196-5301
- **Mailing address phone:** (786) 350-6080

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 208D00000X | General Practice Physician | — | NULL | — |
| 208D00000X | General Practice Physician | — | — | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 08/27/2025
- **Last updated:** 08/27/2025