OrganizationActive
Extra Medical Clinic Inc
NPI 1144235094 · General Practice Physician · Coral Gables, FL
Provider details
- NPI number
- 1144235094
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mayra Perez, Owner, President(305) 441-5722
- License
- HCC4063 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
717 Ponce De Leon Blvd
Suite 205
Coral Gables, FL 33134-2060
Phone: (305) 441-5722
Street-level locationGet directions
Mailing address
717 Ponce De Leon Blvd
Coral Gables, FL 33134-2060
Registry dates
- Enumerated
- 2006-07-29
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.