Organization Active NPI

Tu Salud Medical Centers III LLC

  • General Practice Physician
  • Miami, FL
National Provider Identifier
1093472557
Registry record updated Nov 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
TU SALUD MEDICAL CENTERS III LLC
Practice address
1600 NW 17TH Ave
Miami, FL 33125-2327
Phone
(305) 912-8603
Fax
(305) 907-5343
NPI assigned
Nov 19, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2021

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

Authorized official

Name
Yuniel Rey del Toro
Title
President
Phone
(305) 912-8603

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary
Clinic/Center 261Q00000X

Addresses

Primary practice location

1600 NW 17TH Ave
Miami, FL 33125-2327

Mailing address

900 Park Centre Blvd Ste 400a
Miami Gardens, FL 33169-5371
Phone (305) 912-8603

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231116000312 FL Part B Supplier - Clinic/Group Practice 5991152324 Receives reassigned benefits from 4 practitioners
Practice locations: Miami, FL

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2265352Tu Salud Medical Centers III LLC1600 NW 17TH Ave, Miami, FL 33125Certificate of waiverJul 26, 2028

National Provider Directory

National Provider Directory

Locations

1600 NW 17th Ave
Miami, FL 33125
Phone (305) 635-0335

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 4

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": "1637280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637280000000",
    "number": "1093472557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 PARK CENTRE BLVD STE 400A",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331695371",
            "telephone_number": "305-912-8603",
            "fax_number": "305-907-5343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 NW 17TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331252327",
            "telephone_number": "305-912-8603",
            "fax_number": "305-907-5343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TU SALUD MEDICAL CENTERS III LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-19",
        "last_updated": "2021-11-19",
        "certification_date": "2021-11-19",
        "status": "A",
        "authorized_official_last_name": "REY DEL TORO",
        "authorized_official_first_name": "YUNIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-912-8603"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2021; 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.