Organization Active NPI

Lakes Medical & Wellness LLC

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1174428197
Registry record updated Oct 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
LAKES MEDICAL & WELLNESS LLC
Practice address
13225 SW 58TH Ter Unit 17-8
Miami, FL 33183-1259
Phone
(305) 203-9949
NPI assigned
Oct 9, 2026
Last updated
Oct 9, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2026

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

Authorized official

Name
Mr. Jose Luis Cardentey Hernandez, APRN/ FNPNPI 1861249880
Title
Aprn
Phone
(305) 203-9949

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NU Primary

Addresses

Primary practice location

13225 SW 58TH Ter Unit 17-8
Miami, FL 33183-1259

Mailing address

13225 SW 58TH Ter Unit 17-8
Miami, FL 33183-1259
Phone (305) 203-9949

Practitioners & affiliated clinicians

Practitioners 1

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": "1791504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791504000000",
    "number": "1174428197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13225 SW 58TH TER UNIT 17-8",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331831259",
            "telephone_number": "305-203-9949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13225 SW 58TH TER UNIT 17-8",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331831259",
            "telephone_number": "305-203-9949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKES MEDICAL & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-09",
        "last_updated": "2026-10-09",
        "certification_date": "2026-10-09",
        "status": "A",
        "authorized_official_last_name": "CARDENTEY HERNANDEZ",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "LUIS",
        "authorized_official_title_or_position": "APRN",
        "authorized_official_telephone_number": "305-203-9949",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "APRN/ FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "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 Oct 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.