Medipath LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

MEDIPATH LLC

Practice address

4665 Ponce de Leon Blvd # 2B
Coral Gables, FL 33146-2101

Phone

(786) 464-0749

Fax

(786) 953-5764

NPI assigned

Feb 7, 2025

Last updated

Aug 12, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gina Salazar

Title

Administrator

Phone

(786) 464-0749

Specialties & licenses 1

Addresses

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

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

{
    "created_epoch": "1738886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754956800000",
    "number": "1316752447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4665 PONCE DE LEON BLVD # 2B",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331462101",
            "telephone_number": "786-464-0749",
            "fax_number": "786-953-5764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4665 PONCE DE LEON BLVD # 2B",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331462101",
            "telephone_number": "786-464-0749",
            "fax_number": "786-953-5764"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10151 Deerwood Park Blvd Ste 250",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322560566",
            "country_code": "US",
            "telephone_number": "786-464-0749 x107",
            "fax_number": "786-953-5764",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MEDIPATH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-07",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A",
        "authorized_official_last_name": "SALAZAR",
        "authorized_official_first_name": "GINA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "786-464-0749"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andre Alberto Medina
• Christina Giraldo Medina, MD
• Juan Carlos Medina, A.P
• Olga Luna Medina, MS, NP-C
• Samantha Medina, OTR/L
• Medipath, LLC
• Medison Medical Center
• Luis Medrano, BS
• Medway Express
• Jillian Megaro

• Clinical Medical Laboratory in Coral Gables, FL
• Providers in Coral Gables, FL by specialty
• Clinical Medical Laboratory in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.