Bloom Blue Medical Clinic LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

BLOOM BLUE MEDICAL CLINIC LLC

Practice address

7921 SW 40TH St Ste 40
Miami, FL 33155-6747

Phone

(786) 533-0299

Fax

(786) 821-0248

NPI assigned

Jul 9, 2025

Organization subpart

No

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

Authorized official

Name

Ms. Leonor Castillo Martinez

Title

MGR

Phone

(786) 533-0299

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

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

• Diamina Molina Vidal, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Sweetwater, FL
  • NPI 1861970428

  Single Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1752019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776729600000",
    "number": "1215827233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7921 SW 40TH ST STE 40",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331556747",
            "telephone_number": "786-533-0299",
            "fax_number": "786-821-0248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7921 SW 40TH ST STE 40",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331556747",
            "telephone_number": "786-533-0299",
            "fax_number": "786-821-0248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM BLUE MEDICAL CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-09",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A",
        "authorized_official_last_name": "CASTILLO MARTINEZ",
        "authorized_official_first_name": "LEONOR",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "786-533-0299",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miguelina Bloise, MS
• Kaegan Blomseth
• Ricardo H Blondet, M.D.
• Yanielys Blondin
• Bloom Bite Nutrition
• Bloom With Therapy Services Inc
• Audrey Bloom, LCSW
• Barbara Lieberman Bloom, PH.D.
• Christopher Bloom, NURSE
• Jason Scott Bloom, DPT

• Physical Therapy Clinic/Center in Miami, FL
• Providers in Miami, FL by specialty
• Physical Therapy Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.