Active NPI
Unimed Medical Centers LLC
- Family Medicine Physician
- Miami Lakes, FL
National Provider Identifier
1124777545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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
National Provider Directory
National Provider Directory- Tax ID family
- Unimed Medical Centers LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Family Medicine Physician
- Miami, FL
- NPI 1912730508
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.
-
- Family Nurse Practitioner
- Deerfield Beach, FL
- NPI 1477115020
-
- General Practice Physician
- Hialeah Gardens, FL
- NPI 1770569196
-
- Family Nurse Practitioner
- Miami, FL
- NPI 1740478528
-
- Nurse Practitioner
- Miami, FL
- NPI 1932852613
-
- Family Nurse Practitioner
- Miami, FL
- NPI 1255936910
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.