MARTIN LUTHER KING RENAL INSTITUTE, LLC. (NPI# 1710378120) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710378120 |
| Entity Type | Organization |
| Organization Name | MARTIN LUTHER KING RENAL INSTITUTE, LLC. |
| Practice Address |
6112 Nw 7th Ave Miami FL 33127-1112 |
| Practice Telephone | 7864149291 |
| Mailing Telephone | 7864149291 |
| Enumeration Date | 2015-02-08 |
| Last Update Date | 2016-05-05 |
| Authorized Official Name | JOSE A CESPEDES (OWNER) |
| Authorized Official Telephone | 7864149291 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities |
| Street Address |
6112 NW 7TH AVE |
| City | MIAMI |
| State | FL |
| Zip Code | 33127-1112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043525819 | Star Medical Clinic, Inc. | Preferred Provider Organization | 6112 Nw 7th Ave, Miami, FL 33127-1112 | 2010-08-17 |
| 1215598081 | Juan Carlos Martinez | Registered Nurse | 6112 Nw 7th Ave, Miami, FL 33127-1112 | 2019-06-24 |
| 1528319514 | Liberty City Health and Wellness Center | Internal Medicine | 6112 Nw 7th Ave, Miami, FL 33127-1112 | 2012-10-01 |
| 1679835821 | Liberty City Community Health Center, Inc. | Internal Medicine | 6112 Nw 7th Ave, Miami, FL 33127-1112 | 2012-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609410950 | Johana Correa | Behavior Technician | 3360 Nw 11th Pl Apt 103, Miami, FL 33127 | 2019-10-30 |
| 1639728827 | Sanctuary Therapeutic Counseling Services | Social Worker | 3246 N. Miami Avenue Suite A, #370585, Miami, FL 33127 | 2019-09-10 |
| 1811545825 | William M. Colson IIi | Technician | 5601 Nw 2nd Ave., 702, Miami, FL 33127 | 2019-09-03 |
| 1932613064 | Jose Luis Erice Lafont | Behavioral Analyst | 5715 Nw 2nd Ave Apt 806, Miami, FL 33127 | 2017-11-28 |
| 1134631658 | Ania Diaz | Behavior Technician | 2525 Nw 10th Ave Apt 206, Miami, FL 33127 | 2017-10-25 |
| 1891212056 | Amonise Creed | Massage Therapist | 94 Nw 50 Street, Miami, FL 33127 | 2017-08-28 |
| 1912423237 | Rakevia Lakeisha Mcknight | Lactation Consultant, Non-RN | 740 Nw 31st Street, Miami, FL 33127 | 2017-08-17 |
| 1902252380 | Las Palmas Alf, Corp | Assisted Living Facility | 1170 N.w. 26 St., Miami, FL 33127 | 2016-05-04 |
| 1861861668 | Borinquen Health Care Center Inc | Clinic/Center | 6161 Nw 5 Court, Miami Edison Senior High, Miami, FL 33127 | 2015-09-22 |
| 1225407026 | Borinquen Health Care Center Inc | Clinic/Center | 6101 Nw 2 Avenue, Itech @ Thomas A. Edison High, Miami, FL 33127 | 2015-09-22 |
| Find all providers in zip 33127 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750992814 | Swain Dialysis Renal Center | Clinic/Center | 1923 Nw 43rd St, Miami, FL 33142-4777 | 2020-08-12 |
| 1396355525 | Kidney Partners Coral Gables LLC | Clinic/Center | 835 Sw 37th Ave, Miami, FL 33135-4289 | 2020-08-03 |
| 1124640263 | Arc Dialysis Westchester LLC | Clinic/Center | 11501 Sw 40th St Ste 100, Miami, FL 33165-3313 | 2020-05-12 |
| 1679038046 | Arc Dialysis Kendall LLC | Clinic/Center | 9835 Sunset Dr Ste 107, Miami, FL 33173-4648 | 2019-02-09 |
| 1982171633 | Arc Dialysis Perrine LLC | Clinic/Center | 22165 S Dixie Hwy, Miami, FL 33170 | 2018-10-31 |
| 1255833844 | Kidney Care of Kendall Dialysis Center Inc. | Clinic/Center | 13501 S.w. 136th Street, 210, Miami, FL 33186 | 2018-02-28 |
| 1386167070 | Primecare Renal Group LLC | Clinic/Center | 78 Sw 13th Ave Ste 205, Miami, FL 33135-2479 | 2017-07-25 |
| 1952848798 | Total Renal Care Inc | Clinic/Center | 1800 Sw 8th St, Miami, FL 33135-3418 | 2017-01-31 |
| 1194130252 | Vital Life Dialysis Center, LLC | Clinic/Center | 13501 Sw 136th Street, Suite 210, Miami, FL 33186 | 2014-06-27 |
| 1699102715 | Talimena Dialysis LLC | Clinic/Center | 15600 Nw 15th Ave, Ste D, Miami, FL 33169-5609 | 2013-10-03 |
| Find all providers in MIAMI | ||||
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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.