Organization Active NPI

Lamar Medical Center LLC

  • General Practice Physician
  • Hialeah, FL
National Provider Identifier
1174477111
Registry record updated Feb 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
LAMAR MEDICAL CENTER LLC
Practice address
1920 W 60TH St
Hialeah, FL 33012-7598
Phone
(786) 637-2155
Fax
(786) 755-4652
NPI assigned
Feb 25, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2026

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

Authorized official

Name
Marlen Pardo Hernandez
Title
Owner
Phone
(786) 637-2155

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

1920 W 60TH St
Hialeah, FL 33012-7598

Mailing address

1920 W 60TH St
Hialeah, FL 33012-7598
Phone (786) 637-2155

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260604003823 FL Part B Supplier - Clinic/Group Practice 3779054226 Receives reassigned benefits from 2 practitioners
Practice locations: Hialeah, FL

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
10D2340097Lamar Medical Center LLC1920 W 60TH St, Hialeah, FL 33012Certificate of waiverMar 11, 2028

National Provider Directory

National Provider Directory

Locations

1920 W 60th St
Hialeah, FL 33012
Phone (786) 637-2155

Practitioners & affiliated clinicians

Practitioners 2

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": "1771977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771977600000",
    "number": "1174477111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 W 60TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330127598",
            "telephone_number": "786-637-2155",
            "fax_number": "786-755-4652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 W 60TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330127598",
            "telephone_number": "786-637-2155",
            "fax_number": "786-755-4652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAMAR MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-25",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A",
        "authorized_official_last_name": "PARDO HERNANDEZ",
        "authorized_official_first_name": "MARLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-637-2155"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2026; 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.