Individual provider Active NPI

Liat Corcia, M.D.

  • Pediatric Endocrinology Physician
  • Coral Gables, FL
National Provider Identifier
1053549550
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Endocrinology PhysicianTaxonomy code 2080P0205X
License
ME112450 Issued in FL
Practice address
4425 Ponce de Leon Blvd
Suite 115
Coral Gables, FL 33146-1837
Phone
(305) 667-3152
NPI assigned
Jun 23, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 240475 MA
Pediatric Endocrinology Physician 2080P0205X ME112450 FL Primary
Pediatrics Physician 208000000X 112450 FL

Addresses

Primary practice location

4425 Ponce de Leon Blvd
Suite 115
Coral Gables, FL 33146-1837

Mailing address

4425 Ponce de Leon Blvd
Suite 115
Coral Gables, FL 33146-1837
Phone (305) 667-3152

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151008001765 FL Practitioner - Endocrinology 9234447335 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
112450FLMDPediatrics Physician
240475MAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vitalmd Group Holding LLC Pediatrics CurrentSince Sep 1, 2015 Accepting new patients

Locations

4425 Ponce de Leon Blvd
Ste 1605
Coral Gables, FL 33146

4425 Ponce de Leon Blvd
Ste 115
Coral Gables, FL 33146
Phone (305) 667-3152

3225 Aviation Ave
Ste 700
Miami, FL 33133
Phone (305) 273-4641

8299 S Dixie Hwy
Miami, FL 33143
Phone (786) 528-3000

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AHDFCA/Endpoint/AHDFCA

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1245715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787097600000",
    "number": "1053549550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4425 PONCE DE LEON BLVD",
            "address_2": "SUITE 115",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331461837",
            "telephone_number": "305-667-3152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4425 PONCE DE LEON BLVD",
            "address_2": "SUITE 115",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331461837",
            "telephone_number": "305-667-3152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORCIA",
        "first_name": "LIAT",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-23",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "240475",
            "primary": false
        },
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "FL",
            "license": "ME112450",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "112450",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

Verify at the official NPI Registry.