Legacy Medical Clinics

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

LEGACY MEDICAL CLINICS

Practice address

830 N Krome Ave
Homestead, FL 33030-4407

Phone

(305) 726-2084

NPI assigned

Sep 21, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Ronald Goncalves

Title

Manager

Phone

(786) 261-3143

Specialties & licenses 2

Addresses

Other names 1

• Success Care Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Nomi Health Inc.

  • Clinical Medical Laboratory
  • Salt Lake City, UT
  • NPI 1386240786

  Member Of

  NPD member

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

{
    "created_epoch": "1632182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744156800000",
    "number": "1295406239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 SEVILLA AVE",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331346006",
            "telephone_number": "786-761-5935",
            "fax_number": "386-761-5936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 N KROME AVE",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330304407",
            "telephone_number": "305-726-2084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY MEDICAL CLINICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-21",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A",
        "authorized_official_last_name": "GONCALVES",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "786-261-3143",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Success Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Leap Home Care Services, Inc.
• Yuleydis Ledesma Torrens
• Ginnet Ledesma
• Erica Antoinette Lee
• Rhea Lee
• Leisure City Home Care
• Roberto Leiter Garcia Sr.
• Roberto Leiter Hernandez
• Arasay Leiva-Carvajal
• Nick Lekkas, DDS

• Family Medicine Physician in Homestead, FL
• Providers in Homestead, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2025; 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.