Kendall Family Medical Center, Corp.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

KENDALL FAMILY MEDICAL CENTER, CORP.

Practice address

11760 SW 40TH St Ste 112
Miami, FL 33175-3589

Phone

(305) 552-6969

Fax

(305) 552-6775

NPI assigned

Mar 12, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Jorge Acosta

Title

Vice President

Phone

(305) 485-7979

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/5711/brand/1/csg/1/fhir/r4

Practitioners 2

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

• Juan M Duque, M.D.

  • Internal Medicine Physician
  • Miami, FL
  • NPI 1124105846
  Medicare reassignment NPD
• Marta Rosa Fernandez, M.D.

  • General Practice Physician
  • Hollywood, FL
  • NPI 1780666750
  NPD (past)

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

{
    "created_epoch": "1236816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236816000000",
    "number": "1376784801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11760 SW 40TH ST STE 112",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753589",
            "telephone_number": "305-552-6969",
            "fax_number": "305-552-6775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11760 SW 40TH ST STE 112",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753589",
            "telephone_number": "305-552-6969",
            "fax_number": "305-552-6775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENDALL FAMILY MEDICAL CENTER, CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-12",
        "last_updated": "2009-03-12",
        "status": "A",
        "authorized_official_last_name": "ACOSTA",
        "authorized_official_first_name": "JORGE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "305-485-7979",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kendall Dental Corp.
• Kendall Dialysis Center, LLC
• Kendall Durable Medical Equipment, LLC
• Kendall Eye Institute Inc
• Kendall Eye Optical
• Kendall Gardens Alf Inc.
• Kendall Haven Alf LLC
• Kendall Healthcare Group, LTD.
• Kendall Healthcare Group, LTD.
• Kendall Healthcare Group, LTD.

• Family Medicine Physician in Miami, FL
• Providers in Miami, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2009; 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.