South Florida Dialysis Center Corp

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

SOUTH FLORIDA DIALYSIS CENTER CORP

Practice address

8057 NW 155TH St
Miami Lakes, FL 33016-5874

Phone

(786) 400-1379

Fax

(786) 513-0428

NPI assigned

Sep 13, 2011

Organization subpart

No

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

Authorized official

Name

Mrs. Yizel Amador

Title

Ceo

Phone

(786) 400-1379

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Networks

• HealthSun Health Plans Network

Practitioners 1

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

• Juan A Fernandez, MD

  • Nephrology Physician
  • Miami, FL
  • NPI 1568481620
  NPD (past)

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

{
    "created_epoch": "1315872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326412800000",
    "number": "1346522679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8057 NW 155TH ST",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330165874",
            "telephone_number": "786-400-1379",
            "fax_number": "786-513-0428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8057 NW 155TH ST",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330165874",
            "telephone_number": "786-400-1379",
            "fax_number": "786-513-0428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH FLORIDA DIALYSIS CENTER CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-13",
        "last_updated": "2012-01-13",
        "status": "A",
        "authorized_official_last_name": "AMADOR",
        "authorized_official_first_name": "YIZEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "786-400-1379",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Caridad Soto Galindo
• Maria Soto Miramon
• Adolfo Sotolongo Jr., OTD, OTR/L
• Niusky Sotomayor
• South Florida ABA Early Intervention Center LLC
• South Florida ENT Associates Hearing, LLC
• South Florida Home Care Services Inc
• South Florida Pain Care
• South Florida Pediatric Homecare Inc
• South Florida Primary Care Practice Corp

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Miami Lakes, FL
• Providers in Miami Lakes, FL by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2012; 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.