NPIMap

Organization Active NPI

Clinica Las Mercedes, LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • North Miami, FL
National Provider Identifier
1245811348
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
Practice address
428 NE 125TH St
North Miami, FL 33161-4717
Phone
(305) 570-0012
Fax
(305) 351-9087
NPI assigned
Apr 20, 2021
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

428 NE 125TH St
North Miami, FL 33161-4717

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.

National Provider Directory

National Provider Directory

Locations

1479 NW 27th Ave
Miami, FL 33125
Phone (305) 633-3776

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 12

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": "1618876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740528000000",
    "number": "1245811348",
    "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": "428 NE 125TH ST",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331614717",
            "telephone_number": "305-570-0012",
            "fax_number": "305-351-9087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA LAS MERCEDES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-20",
        "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 North Miami, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.