Organization Active NPI

Family Medical Group - HML

  • General Practice Physician
  • Hialeah, FL
National Provider Identifier
1104540830
Registry record updated Sep 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
FAMILY MEDICAL GROUP - HML
Practice address
7100 W 20TH Ave Ste 616
Hialeah, FL 33016-1814
Phone
(305) 435-4465
Fax
(359) 902-2506
NPI assigned
Sep 27, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2022

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

Authorized official

Name
Lizsandra Rodriguez
Title
Owner
Phone
(786) 399-7390

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

7100 W 20TH Ave Ste 616
Hialeah, FL 33016-1814

Mailing address

7100 W 20TH Ave Ste 616
Hialeah, FL 33016-1814
Phone (305) 435-4465

Other identifiers 1

IdentifierTypeStateIssuer
JG446AOtherFLMEDICARE

Electronic endpoints 3

TypeEndpointUseAffiliation
CONNECT URL Kareo Health Information Exchange (HIE) Family Medical Clinic Kendall LLC
CONNECT URL Kareo Health Information Exchange (HIE) Family Medical Clinic Kendall LLC
CONNECT URL Kareo Health Information Exchange (HIE) Family Medical Clinic Kendall LLC

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
10D2273300Family Medical Group HML LLC7100 West 20TH Avenue, Ste 616, Hialeah, FL 33016Certificate of waiverDec 11, 2026

National Provider Directory

National Provider Directory

Locations

7100 W 20th Ave
Ste 616
Hialeah, FL 33016
Phone (305) 435-4465

NPI Registry JSON

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

{
    "created_epoch": "1664236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664409600000",
    "number": "1104540830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 W 20TH AVE STE 616",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330161814",
            "telephone_number": "305-435-4465",
            "fax_number": "359-902-2506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 W 20TH AVE STE 616",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330161814",
            "telephone_number": "305-435-4465",
            "fax_number": "359-902-2506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICAL GROUP - HML",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-27",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "LIZSANDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-399-7390"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "JG446A",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Kareo",
            "affiliation": "Y",
            "endpointDescription": "Kareo",
            "affiliationName": "Family Medical Clinic Kendall LLC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7100 W 20th Ave Ste 616",
            "city": "Hialeah",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330161814",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Kareo",
            "affiliation": "Y",
            "endpointDescription": "Kareo",
            "affiliationName": "Family Medical Clinic Kendall LLC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7100 W 20th Ave Ste 616",
            "city": "Hialeah",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330161814",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Kareo",
            "affiliation": "Y",
            "endpointDescription": "Kareo",
            "affiliationName": "Family Medical Clinic Kendall LLC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7100 W 20th Ave Ste 616",
            "city": "Hialeah",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330161814",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.