NPIMap

Organization Active NPI

Clinica Las Mercedes, LLC

Doing business as Las Mercedes Medical Centers

  • Geriatric Medicine (Internal Medicine) Physician
  • Plantation, FL
National Provider Identifier
1144868589
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
Legal business name
CLINICA LAS MERCEDES, LLC
Doing business as
Las Mercedes Medical Centers
Practice address
8251 W Broward Blvd Ste 200-210
Plantation, FL 33324-2703
Phone
(954) 334-3131
Fax
(954) 334-3132
NPI assigned
Dec 17, 2019
Last updated
Feb 26, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

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

Authorized official

Name
Jorge Raad
Title
Authorized Official
Phone
(786) 233-6981

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0300X Primary
Multi-Specialty Clinic/Center 261QM1300X

Addresses

Primary practice location

8251 W Broward Blvd Ste 200-210
Plantation, FL 33324-2703

Mailing address

6355 NW 36TH St BLDG Ste 1100
Virginia Gardens, FL 33166-7009
Phone (786) 233-6981

Other names 1

  • Las Mercedes Medical Centers Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041119000908 FL Part B Supplier - Clinic/Group Practice 5890750731 Receives reassigned benefits from 65 practitioners
9 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Hialeah, FL; Tamarac, FL; Plantation, FL; Pembroke Pines, FL; North Miami, FL; Miami, FL; Homestead, FL

Other NPIs on the same Medicare enrollment 9

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

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
10D2275536Clinica Las Mercedes, LLC8251 West Broward Blvd, Ste 206, Plantation, FL 33324Certificate of waiverJan 23, 2027

National Provider Directory

National Provider Directory

Locations

2387 W 68th St
Ste 600
Hialeah, FL 33016

8251 W Broward Blvd
Ste 208
Plantation, FL 33324

8251 W Broward Blvd
Ste 200208
Plantation, FL 33324
Phone (954) 334-3131

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1576540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740528000000",
    "number": "1144868589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6355 NW 36TH ST BLDG STE 1100",
            "city": "VIRGINIA GARDENS",
            "state": "FL",
            "postal_code": "331667009",
            "telephone_number": "786-233-6981",
            "fax_number": "786-322-2317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8251 W BROWARD BLVD STE 200-210",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333242703",
            "telephone_number": "954-334-3131",
            "fax_number": "954-334-3132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA LAS MERCEDES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-17",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A",
        "authorized_official_last_name": "RAAD",
        "authorized_official_first_name": "JORGE",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "786-233-6981"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Las Mercedes Medical Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; 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.