NPIMap

Organization Active NPI

Kendall South Foundation Inc

  • Community Health Clinic/Center
  • Coral Gables, FL
National Provider Identifier
1003732801
Registry record updated Jun 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
Legal business name
KENDALL SOUTH FOUNDATION INC
Practice address
4689 Ponce de Leon Blvd Ste 200
Coral Gables, FL 33146-2133
Phone
(786) 234-0513
NPI assigned
Jun 25, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2026

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

Authorized official

Name
Luis O Hernandez
Title
Vice President
Phone
(786) 234-0513

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X Primary
Federally Qualified Health Center (FQHC) 261QF0400X

Addresses

Primary practice location

4689 Ponce de Leon Blvd Ste 200
Coral Gables, FL 33146-2133

Mailing address

4689 Ponce de Leon Blvd Ste 200
Coral Gables, FL 33146-2133

National Provider Directory

National Provider Directory
Tax ID family
Kendall South Foundation Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1782345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782345600000",
    "number": "1003732801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4689 PONCE DE LEON BLVD STE 200",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331462133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4689 PONCE DE LEON BLVD STE 200",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331462133",
            "telephone_number": "786-234-0513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENDALL SOUTH FOUNDATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-25",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "786-234-0513"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2026; 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.