Organization Active NPI

General Surgery MD LLC

  • Surgery Physician
  • Miami Lakes, FL
National Provider Identifier
1033971908
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
GENERAL SURGERY MD LLC
Practice address
16836 NW 91St Ave
Miami Lakes, FL 33018-6324
Phone
(305) 609-4157
Fax
(786) 464-0594
NPI assigned
Jan 26, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2024

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

Authorized official

Name
Mr. Lorenzo Rodriguez Hernandez, MDNPI 1679079826
Title
Owner
Phone
(305) 609-4157

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

16836 NW 91St Ave
Miami Lakes, FL 33018-6324

Mailing address

16836 NW 91St Ave
Miami Lakes, FL 33018-6324
Phone (305) 609-4157

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240304001046 FL Part B Supplier - Clinic/Group Practice 6800231614 Receives reassigned benefits from 2 practitioners
Practice locations: Miami Lakes, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1706227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723507200000",
    "number": "1033971908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16836 NW 91ST AVE",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330186324",
            "telephone_number": "305-609-4157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16836 NW 91ST AVE",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330186324",
            "telephone_number": "305-609-4157",
            "fax_number": "786-464-0594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENERAL SURGERY MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-26",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ HERNANDEZ",
        "authorized_official_first_name": "LORENZO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-609-4157",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.