Organization Active NPI

Unimed Medical Centers LLC

  • Family Medicine Physician
  • Miami Lakes, FL
National Provider Identifier
1124777545
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
UNIMED MEDICAL CENTERS LLC
Practice address
15100 NW 67TH Ave Ste 103
Miami Lakes, FL 33014-2103
Phone
(305) 702-3474
Fax
(305) 456-4578
NPI assigned
Mar 22, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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

Authorized official

Name
Reynaldo Ortega
Title
President
Phone
(305) 702-3474

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

15100 NW 67TH Ave Ste 103
Miami Lakes, FL 33014-2103

Mailing address

15100 NW 67TH Ave Ste 103
Miami Lakes, FL 33014-2103
Phone (305) 702-3474

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220527001790 FL Part B Supplier - Clinic/Group Practice 1850779109 Receives reassigned benefits from 5 practitioners
Practice locations: Miami, FL; Miami Lakes, FL

National Provider Directory

National Provider Directory
Tax ID family
Unimed Medical Centers LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

14150 SW 119th Ave
Ste 102
Miami, FL 33186
Phone (305) 251-4131

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 5

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": "1647907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724198400000",
    "number": "1124777545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15100 NW 67TH AVE STE 103",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142103",
            "telephone_number": "305-702-3474",
            "fax_number": "305-456-4578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15100 NW 67TH AVE STE 103",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142103",
            "telephone_number": "305-702-3474",
            "fax_number": "305-456-4578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIMED MEDICAL CENTERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-22",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A",
        "authorized_official_last_name": "ORTEGA",
        "authorized_official_first_name": "REYNALDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-702-3474"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "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 21, 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.