Lifecare Medical Center Group LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

LIFECARE MEDICAL CENTER GROUP LLC

Practice address

14221 SW 120TH St Ste 225
Miami, FL 33186-4225

Phone

(786) 608-9889

NPI assigned

Mar 21, 2025

Organization subpart

No

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

Authorized official

Name

Mrs. Lissue Rodriguez MirandaNPI 1174122956

Title

Owner

Phone

(786) 608-9889

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 5

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

• Ivette Cristine Espinosa-Fernandez, DO

  • General Practice Physician
  • South Miami, FL
  • NPI 1295771665
  Medicare reassignment NPD
• Miguel Angel Lima Nieves, ARNP

  • Family Nurse Practitioner
  • Miami, FL
  • NPI 1710463070
  Medicare reassignment NPD
• Yamilen Mengana Bernal, APRN

  • Nurse Practitioner
  • Miami, FL
  • NPI 1609687946
  Medicare reassignment NPD
• Lissue Rodriguez Miranda

  • Behavior Technician
  • Miami, FL
  • NPI 1174122956
  NPD Authorized official
• Jennifer Castillero Santana

  • Behavior Technician
  • Miami, FL
  • NPI 1376067033
  NPD

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

{
    "created_epoch": "1742515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742515200000",
    "number": "1053112508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14221 SW 120TH ST STE 225",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331864225",
            "telephone_number": "786-608-9889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14221 SW 120TH ST STE 225",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331864225",
            "telephone_number": "786-608-9889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFECARE MEDICAL CENTER GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-21",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ MIRANDA",
        "authorized_official_first_name": "LISSUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-608-9889",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Life Spring Research Foundation
• Life Support Community Service Inc
• Life Time Alf Co
• Life'S Secret Corp
• Lifecare Med Center LLC
• Lifeline Home Healthcare Providers, Inc.
• Lifeplus Healthcare Group, Inc.
• Lifequest Health Solutions, LLC
• Lifesaver Pharmacy Inc
• Lifespan Home Health Care of Miami, LLC

• Clinic/Center in Miami, FL
• Providers in Miami, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.