Provider Demographics
NPI:1245104009
Name:PRIME MEDICAL CLINIC INC.
Entity type:Organization
Organization Name:PRIME MEDICAL CLINIC INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NATHALY
Authorized Official - Middle Name:
Authorized Official - Last Name:CASTRO STINCER
Authorized Official - Suffix:
Authorized Official - Credentials:MSN APRN FNP
Authorized Official - Phone:786-536-2414
Mailing Address - Street 1:10240 SW 56TH ST STE 101-102
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33165-7071
Mailing Address - Country:US
Mailing Address - Phone:786-536-2414
Mailing Address - Fax:305-468-3954
Practice Address - Street 1:10240 SW 56TH ST STE 101-102
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33165-7071
Practice Address - Country:US
Practice Address - Phone:786-536-2414
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-03
Last Update Date:2025-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Multi-Specialty