Active NPI
Mi Casa Medical Centers LLC
- Clinic/Center
- Miami, FL
National Provider Identifier
1356883557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- MI CASA MEDICAL CENTERS LLC
- Practice address
- 8356 SW 40TH St Ste Abc
Miami, FL 33155-3356 - Phone
- (305) 390-2729
- Fax
- (305) 676-6628
- NPI assigned
- Nov 6, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Marissa Palacios
- Title
- Manager
- Phone
- (305) 390-2729
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
8356 SW 40TH St Ste Abc
Miami, FL 33155-3356
Mailing address
8356 SW 40TH St Ste Abc
Miami, FL 33155-3356
Phone (305) 390-2729
Other names 1
- Miami Medical Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2121857 | Mi Casa Medical Centers, LLC | Certificate of waiver | Nov 14, 2026 |
National Provider Directory
National Provider DirectoryLocations
8356 SW 40th St
Ste A
Miami, FL 33155
Phone (305) 390-2729
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Miami, FL
- NPI 1164485231
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478390400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1742774400000",
"number": "1356883557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8356 SW 40TH ST STE ABC",
"city": "MIAMI",
"state": "FL",
"postal_code": "331553356",
"telephone_number": "305-390-2729",
"fax_number": "305-676-6628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8356 SW 40TH ST STE ABC",
"city": "MIAMI",
"state": "FL",
"postal_code": "331553356",
"telephone_number": "305-390-2729",
"fax_number": "305-676-6628"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MI CASA MEDICAL CENTERS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-11-06",
"last_updated": "2025-03-24",
"certification_date": "2025-03-24",
"status": "A",
"authorized_official_last_name": "PALACIOS",
"authorized_official_first_name": "MARISSA",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "305-390-2729",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Miami Medical Center",
"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 Mar 24, 2025; 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.