South Florida Renal Care, LLC.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

SOUTH FLORIDA RENAL CARE, LLC.

Practice address

8057 NW 155TH St
Miami Lakes, FL 33016-5874

Phone

(305) 698-2200

Fax

(305) 698-2243

NPI assigned

Dec 11, 2023

Organization subpart

No

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

Authorized official

Name

Jorge Garcia

Title

Credentialing Director

Phone

(305) 606-0337

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Pablo Emmanuel Puello Diaz, MD

  • Nephrology Physician
  • Vero Beach, FL
  • NPI 1700205523
  Medicare reassignment NPD

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

{
    "created_epoch": "1702252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716508800000",
    "number": "1003683020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1960 TATNALL SQ APT 205",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329668111",
            "telephone_number": "772-559-1309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8057 NW 155TH ST",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330165874",
            "telephone_number": "305-698-2200",
            "fax_number": "305-698-2243"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1960 Tatnall Sq Apt 205",
            "address_purpose": "LOCATION",
            "city": "Vero Beach",
            "state": "FL",
            "postal_code": "329668111",
            "country_code": "US",
            "telephone_number": "772-559-1309",
            "fax_number": "305-698-2243",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOUTH FLORIDA RENAL CARE, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-11",
        "last_updated": "2024-05-24",
        "certification_date": "2024-05-24",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "JORGE",
        "authorized_official_title_or_position": "CREDENTIALING DIRECTOR",
        "authorized_official_telephone_number": "305-606-0337"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Florida Home Care Services Inc
• South Florida Pain Care
• South Florida Pediatric Homecare Inc
• South Florida Primary Care Practice Corp
• South Florida Pulmonary Care, Inc.
• South Florida Social Services Corp
• South Miami Hospital, Inc
• South West Technics Inc
• Southern Home Care Services, Inc.
• Southern Medical Equipment and Supplies LLC

• Nephrology Physician in Miami Lakes, FL
• Providers in Miami Lakes, FL by specialty
• Nephrology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.