MIAMI LAKES MEDICAL CENTER ASSOCIATES PA (NPI# 1174518096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174518096 |
| Entity Type | Organization |
| Organization Name | MIAMI LAKES MEDICAL CENTER ASSOCIATES PA |
| Other Organization Name | PEMBROKE LAKES MEDICAL CENTER |
| Practice Address |
7150 W 20th Ave Suite 315 Hialeah FL 33016-5529 |
| Practice Telephone | 3058216600 |
| Practice Fax Number | 3058210773 |
| Mailing Telephone | 3058216600 |
| Mailing Fax Number | 3058210773 |
| Enumeration Date | 2005-09-16 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | RICHARD ALAN KOBY (VICE PRESIDENT) |
| Authorized Official Telephone | 3058216600 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Pembroke Lakes Medical Center | Doing Business As Name - Organization |
| Street Address |
7150 W 20TH AVE SUITE 315 |
| City | HIALEAH |
| State | FL |
| Zip Code | 33016-5529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982062485 | Citrus Health Network,inc. | Obstetrics & Gynecology | 7150 W 20th Ave, Suite 201, Hialeah, FL 33016-5529 | 2016-01-29 |
| 1891169116 | Miami Blue Health Corp. | Clinic/Center | 7150 W 20th Ave, Suite 501, Hialeah, FL 33016 | 2015-11-24 |
| 1619345915 | Genesiscare Usa of Florida LLC | Urology | 7150 W 20th Ave, Suite 406, Hialeah, FL 33016-5529 | 2015-09-03 |
| 1578954830 | Latoya Dotson | Nurse Practitioner | 7150 W 20th Ave, Ste 615, Hialeah, FL 33016-5529 | 2015-02-09 |
| 1629413885 | Ortho Florida, LLC | Orthopaedic Surgery | 7150 W 20th Ave, Suite 209, Hialeah, FL 33016-5531 | 2013-05-01 |
| 1649516717 | Ortho Florida LLC | Orthopaedic Surgery | 7150 W 20th Ave, Suite 209, Hialeah, FL 33016-5529 | 2012-12-18 |
| 1801149950 | Kavett Dialysis LLC | Clinic/Center | 7150 W 20th Ave, Ste 109, Hialeah, FL 33016-5509 | 2012-10-25 |
| 1093001547 | Roberto D Comperatore Mdpa | Surgery | 7150 W 20th Ave, Suite 215, Hialeah, FL 33016-5529 | 2011-06-23 |
| 1518256957 | Gustavo A. Cadavid | Internal Medicine | 7150 W 20th Ave, Ste 214, Hialeah, FL 33016-5529 | 2011-04-06 |
| 1093004194 | Oncology and Radiation Associates, Pa | Internal Medicine | 7150 W 20th Ave, Ste 214, Hialeah, FL 33016-5529 | 2011-03-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306450580 | Yenly Hernandez Arrieta | Behavior Technician | 6550 West 22 Court, Hialeah, FL 33016 | 2020-09-03 |
| 1952929028 | Live Mental Care Inc | Community/Behavioral Health | 8040 Nw 95th St., Unit 226, Hialeah Gardens, FL 33016 | 2020-07-06 |
| 1497375059 | Lisset Sirven | Student in an Organized Health Care Education/Training Program | Palmetto General Hospital, 2001 W 68th St, Suite 202, Medical Education Dept, Hialeah, FL 33016 | 2020-04-23 |
| 1386264331 | Zahid Chaudhry | Student in an Organized Health Care Education/Training Program | 2001 W 68th Street, Suite 202, Medical Education Dept, Hialeah, FL 33016 | 2020-04-20 |
| 1386285021 | Monica Hurtado | Behavior Technician | 2480 W 67th Pl # 22, Hialeah, FL 33016 | 2019-10-03 |
| 1346892783 | Yamile Blanco Rodriguez | Behavior Technician | 2265 W 55th St, Hialeah, FL 33016 | 2019-07-16 |
| 1669938197 | Althea Aesthetics & Medical Arts Center | Pathology | 14160 Nw 77th Court., Suite 100, Miami Lakes, FL 33016 | 2019-02-20 |
| 1497226096 | Dominick Maurici | Physical Therapy Assistant | 9905 Nw 79 Ave, Hialeah Gardens, FL 33016 | 2018-12-09 |
| 1871061283 | Lazaro Teresa-calleja Jr. | Nurse Practitioner | 2715 West 73 Pl, Hialeah, FL 33016 | 2018-11-05 |
| 1245719640 | Yagna Elena Martinez La Fe | Nurse Practitioner | 7191 W 24th Ave Apt 56, Hialeah, FL 33016 | 2018-08-07 |
| Find all providers in zip 33016 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780218909 | Christina Nicole Sierra | Family Medicine | 17671 Nw 82nd Ct, Hialeah, FL 33015-3612 | 2020-02-26 |
| 1538791736 | Victor Reuben Baez De Jesus | Family Medicine | 3535 W 10th Ave, Hialeah, FL 33012-5087 | 2020-02-06 |
| 1003454455 | Mislaidy Lopez | Family Medicine | 714 E 18th St, Hialeah, FL 33013-4126 | 2019-12-17 |
| 1861038267 | Jany Gonzalez | Family Medicine | 7012 Nw 179th St Apt 208, Hialeah, FL 33015-5416 | 2019-11-20 |
| 1073179693 | Ileana Diaz | Family Medicine | 1280 W 54th St Apt 201, Hialeah, FL 33012-9006 | 2019-05-20 |
| 1508322157 | Pasteur Medical Management, LLC | Family Medicine | 4440 W 16th Ave, Hialeah, FL 33012-7821 | 2019-02-19 |
| 1306339015 | Magdaline Marie Torres-adorno | Family Medicine | 18610 Nw 87th Ave Ste 101-201, Hialeah, FL 33015 | 2018-06-08 |
| 1992173009 | Pain Relief Rehab Medical Center, Corp | Family Medicine | 3750 W 16th Ave Ste 138u, Hialeah, FL 33012-4661 | 2015-09-04 |
| 1386056349 | Felix Viera Medical Inc | Family Medicine | 3335 W 4th Ave, Hialeah, FL 33012-4360 | 2014-05-27 |
| 1417395971 | Sadia Arifa Ali | Family Medicine | 777 E 25th St Ste 316, Hialeah, FL 33013-3849 | 2013-06-06 |
| Find all providers in HIALEAH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.