Organization Active NPI

Eastern Medical Kendall

  • Family Medicine Physician
  • Miami, FL
National Provider Identifier
1164010245
Registry record updated Jan 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
EASTERN MEDICAL KENDALL
Practice address
11410 N Kendall Dr Ste 307
Miami, FL 33176-1031
Phone
(305) 279-2227
Fax
(305) 239-9227
NPI assigned
Jan 5, 2021
Last updated
Jan 22, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2024

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

Authorized official

Name
Yoandy Cabrera
Title
Ceo
Phone
(786) 925-7949

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

11410 N Kendall Dr Ste 307
Miami, FL 33176-1031

Mailing address

11410 N Kendall Dr Ste 307
Miami, FL 33176-1031
Phone (305) 279-2227

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1609804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705881600000",
    "number": "1164010245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11410 N KENDALL DR STE 307",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331761031",
            "telephone_number": "305-279-2227",
            "fax_number": "305-239-9227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11410 N KENDALL DR STE 307",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331761031",
            "telephone_number": "305-279-2227",
            "fax_number": "305-239-9227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN MEDICAL KENDALL",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-05",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-19",
        "status": "A",
        "authorized_official_last_name": "CABRERA",
        "authorized_official_first_name": "YOANDY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "786-925-7949"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; 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.