Organization Active NPI

KP Medical Services LLC

  • Clinic/Center
  • North Miami, FL
National Provider Identifier
1124911318
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
KP MEDICAL SERVICES LLC
Practice address
16875 NW 2ND Ave
Suite 208
North Miami, FL 33169
Phone
(786) 707-0966
NPI assigned
May 29, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2025

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

Authorized official

Name
Kenia Prieto LarreaNPI 1275326514
Title
Owner
Phone
(786) 707-0966

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

16875 NW 2ND Ave
Suite 208
North Miami, FL 33169

Mailing address

16875 NW 2ND Ave
Suite 208
North Miami, FL 33169
Phone (786) 707-0966

Other names 1

  • Kp Medical Services LLC Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1748476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748476800000",
    "number": "1124911318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16875 NW 2ND AVE",
            "address_2": "SUITE 208",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "33169",
            "telephone_number": "786-707-0966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16875 NW 2ND AVE",
            "address_2": "SUITE 208",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "33169",
            "telephone_number": "786-707-0966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KP MEDICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-29",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-15",
        "status": "A",
        "authorized_official_last_name": "PRIETO LARREA",
        "authorized_official_first_name": "KENIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-707-0966"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kp Medical Services LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in North Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.