Eden Medical Center, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

EDEN MEDICAL CENTER, LLC

Practice address

8302 NW 103Rd St Ste 201
Hialeah Gardens, FL 33016

Phone

(786) 374-9928

NPI assigned

May 15, 2018

Organization subpart

No

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

Authorized official

Name

Surisaday Rones

Title

Manager

Phone

(786) 651-2442

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

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

CLIA laboratory certificates

Tax ID family

Eden Medical Center LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Eden Medical Center, LLC

  • Clinic/Center
  • Miami, FL
  • NPI 1336987056
  NPD tax ID
• Eden Medical Center, LLC

  • Clinic/Center
  • Miami, FL
  • NPI 1598435380
  NPD tax ID

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mariajose Guerra, LMHC

  • Mental Health Counselor
  • Doral, FL
  • NPI 1194458927
  Medicare reassignment Care Compare group NPD
• Yamile Hernandez, MD

  • General Practice Physician
  • Hialeah Gardens, FL
  • NPI 1265839781
  Medicare reassignment Care Compare group NPD
• Gilberto Perez, MD

  • Internal Medicine Physician
  • Hialeah Gardens, FL
  • NPI 1275735433
  Medicare reassignment Care Compare group NPD
• Wilfredo Eddy Bravo, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Coral Gables, FL
  • NPI 1457544702

  Internal Medicine

  Medicare reassignment NPD
• Judith Penichet Alvarez

  • Family Nurse Practitioner
  • Hialeah, FL
  • NPI 1083227409
  Medicare reassignment NPD
• Gretell Baster Rodriguez, APRN-FNP

  • Family Nurse Practitioner
  • Miami, FL
  • NPI 1235836032
  Medicare reassignment NPD
• Yanet Hernandez, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Cape Coral, FL
  • NPI 1225697923
  NPD
• George A Perez Sr., ARNP

  • Family Nurse Practitioner
  • Sunrise, FL
  • NPI 1952774234
  NPD (past)

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

{
    "created_epoch": "1526342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627344000000",
    "number": "1144710146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8302 NW 103RD ST STE 201",
            "city": "HIALEAH GARDENS",
            "state": "FL",
            "postal_code": "330164698",
            "telephone_number": "786-651-2442",
            "fax_number": "786-528-8585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8302 NW 103RD ST STE 201",
            "city": "HIALEAH GARDENS",
            "state": "FL",
            "postal_code": "33016",
            "telephone_number": "786-374-9928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDEN MEDICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-15",
        "last_updated": "2021-07-27",
        "certification_date": "2021-07-27",
        "status": "A",
        "authorized_official_last_name": "RONES",
        "authorized_official_first_name": "SURISADAY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "786-651-2442"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• E & R Medical Equipment Corp
• Early Time Health Center Inc
• Raul Ebran-Gonzalez, M.D.
• Yailen Echazabal Santana
• Maria Teresa Echemendia, BS
• El Comedor Adult Day Care Corp
• El Eden, Corp.
• Elite Behavioral, Inc.
• Maria C. Eloy Rodriguez, M.D
• Aracelis Emes

• Community/Behavioral Health Agency in Hialeah Gardens, FL
• Providers in Hialeah Gardens, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.