Organization Active NPI

Kendall Care Services, LLC

  • Internal Medicine Physician
  • Miami, FL
National Provider Identifier
1003200429
Registry record updated Mar 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME77251 Issued in FL
Legal business name
KENDALL CARE SERVICES, LLC
Practice address
12002 SW 128TH CT
Suite 204
Miami, FL 33186-4639
Phone
(305) 234-3408
Fax
(305) 255-1752
NPI assigned
Mar 24, 2015
Last updated
Mar 24, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Milton A Jimenez, M.D.NPI 1437148384
Title
Owner
Phone
(305) 234-3408

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME77251 FL Primary

Addresses

Primary practice location

12002 SW 128TH CT
Suite 204
Miami, FL 33186-4639

Mailing address

12002 SW 128TH CT
Suite 204
Miami, FL 33186-4639
Phone (305) 234-3408

National Provider Directory

National Provider Directory

Locations

12002 SW 128th Ct
Ste 204
Miami, FL 33186
Phone (305) 234-8264

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1427155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427155200000",
    "number": "1003200429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12002 SW 128TH CT",
            "address_2": "SUITE 204",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331864639",
            "telephone_number": "305-234-3408",
            "fax_number": "305-255-1752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12002 SW 128TH CT",
            "address_2": "SUITE 204",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331864639",
            "telephone_number": "305-234-3408",
            "fax_number": "305-255-1752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENDALL CARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-24",
        "last_updated": "2015-03-24",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ",
        "authorized_official_first_name": "MILTON",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-234-3408",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME77251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.