Palm Medical Center Hialeah, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

PALM MEDICAL CENTER HIALEAH, LLC

Practice address

1401 E 4TH Ave Ste 104
Hialeah, FL 33010-3504

Phone

(305) 888-9000

NPI assigned

Feb 22, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Juan M Ortiz

Title

Ceo

Phone

(305) 913-9444

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Other NPIs on the same Medicare enrollment 7

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Health Holdings Company LLC

  • Primary Care Clinic/Center
  • Coral Gables, FL
  • NPI 1336583707

  O20160818001144

  Same enrollment
• Palm Medical Center - Aventura, LLC

  • Clinic/Center
  • Aventura, FL
  • NPI 1053764829

  O20160818001144

  Same enrollment
• Palm Medical Center Lakeland LLC

  • Clinic/Center
  • Lakeland, FL
  • NPI 1437650579

  O20160818001144

  Same enrollment
• Palm Medical Center Little Havana, LLC

  • Clinic/Center
  • Miami, FL
  • NPI 1497271118

  O20160818001144

  Same enrollment
• Palm Medical Center Plantation, LLC

  • Clinic/Center
  • Plantation, FL
  • NPI 1417458464

  O20160818001144

  Same enrollment
• Palm Medical Centers

  • Clinic/Center
  • Dade City, FL
  • NPI 1952039562

  O20160818001144

  Same enrollment
• Palm Plaza Medical Center, LLC

  • Clinic/Center
  • Hialeah, FL
  • NPI 1699015701

  O20160818001144

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Networks

• HealthSun Health Plans Network

Practitioners 7

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

• Mohammed Feroz Allahrakha, M.D.

  • Family Medicine Physician
  • Tamarac, FL
  • NPI 1710913116
  NPD
• Devendra Autar, DO

  • Family Medicine Physician
  • Parkland, FL
  • NPI 1750959888
  NPD
• Lori Brown, APRN

  • Adult Health Nurse Practitioner
  • Parkland, FL
  • NPI 1568882322
  NPD
• Khin Latt, MD

  • Internal Medicine Physician
  • Lakeland, FL
  • NPI 1841274115
  NPD
• Leyany Nodarse Fleites, PA

  • Physician Assistant
  • Miami, FL
  • NPI 1497203616
  NPD
• Mariannette Plaza, NP

  • Nurse Practitioner
  • Davenport, FL
  • NPI 1477535144
  NPD
• Victoria Roque, APRN

  • Family Nurse Practitioner
  • Hialeah, FL
  • NPI 1801436910
  NPD

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

{
    "created_epoch": "1519257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519257600000",
    "number": "1306347661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 S DOUGLAS RD STE 308",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331346134",
            "telephone_number": "305-913-9444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 E 4TH AVE STE 104",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330103504",
            "telephone_number": "305-888-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM MEDICAL CENTER HIALEAH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-22",
        "last_updated": "2018-02-22",
        "status": "A",
        "authorized_official_last_name": "ORTIZ",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "305-913-9444",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Palm Gardens Manor Inc/Dbapalmgardens3
• Palm Gardens Manor Inc/Dbapalmgardens5
• Palm Gardens Manors Inc
• Palm Lake Medical Center Inc
• Palm Lakes Pharmacy, Inc.
• Palm Medical Institute
• Palm Medical West, LLC
• Palm Medical, LLC
• Palm Pharmacy
• Palm Pharmacy & Discount Store Inc

• Clinic/Center in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2018; 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.