NPIMap

Organization Active NPI

Pasteur & Wellmax Medical Centers LLC

Doing business as Las Mercedes Medical Centers

  • Clinic/Center
  • Miami, FL
National Provider Identifier
1346060522
Registry record updated Nov 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
PASTEUR & WELLMAX MEDICAL CENTERS LLC
Doing business as
Las Mercedes Medical Centers
Practice address
11510 Quail Roost Dr
Miami, FL 33157-6548
Phone
(305) 256-3056
Fax
(305) 256-3066
NPI assigned
Oct 14, 2024
Last updated
Nov 27, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2024

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

Authorized official

Name
Jorge Raad
Title
Owner/President
Phone
(786) 233-6981

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

11510 Quail Roost Dr
Miami, FL 33157-6548

Mailing address

6355 NW 36TH St
East Building, Suite 1100
Virginia Gardens, FL 33166
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
O20250306000544 FL Part B Supplier - Clinic/Group Practice 2961923925 Receives reassigned benefits from 23 practitioners
9 other NPIs on this enrollment
Practice locations: West Palm Beach, FL; Hialeah, FL; Pembroke Pines, FL; Miami, FL; Hialeah Gardens, FL

Other NPIs on the same Medicare enrollment 9

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

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2078079Las Mercedes Medical Centers11510 Quail Roost Dr, Miami, FL 33157Certificate of waiverMay 20, 2028

National Provider Directory

National Provider Directory
Tax ID family
Las Mercedes Medical Centers17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

Organizations that report the same tax identification number in the National Provider Directory.

View all 16

Locations

11510 Quail Roost Dr
Miami, FL 33157
Phone (305) 256-3056

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 23

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1728864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732665600000",
    "number": "1346060522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6355 NW 36TH ST",
            "address_2": "EAST BUILDING, SUITE 1100",
            "city": "VIRGINIA GARDENS",
            "state": "FL",
            "postal_code": "33166",
            "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": "11510 QUAIL ROOST DR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331576548",
            "telephone_number": "305-256-3056",
            "fax_number": "305-256-3066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASTEUR & WELLMAX MEDICAL CENTERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-14",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A",
        "authorized_official_last_name": "RAAD",
        "authorized_official_first_name": "JORGE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "786-233-6981"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Las Mercedes Medical Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2024; 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.