Organization Active NPI

Sina Medical Center LLC

  • General Practice Physician
  • Homestead, FL
National Provider Identifier
1407439078
Registry record updated Oct 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
SINA MEDICAL CENTER LLC
Practice address
1541 SE 12TH Ave Ste 29
Homestead, FL 33034-2699
Phone
(786) 640-1424
Fax
(786) 601-7124
NPI assigned
May 3, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2023

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

Authorized official

Name
Lazaro A CastroNPI 1790563591
Title
President/Manager
Phone
(786) 719-5201

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary
Research Clinic/Center 261QR1100X

Addresses

Primary practice location

1541 SE 12TH Ave Ste 29
Homestead, FL 33034-2699

Mailing address

1541 SE 12TH Ave Ste 29
Homestead, FL 33034-2699
Phone (786) 640-1424

Other identifiers 1

IdentifierTypeStateIssuer
113623100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210702001043 FL Part B Supplier - Clinic/Group Practice 6406257054 Receives reassigned benefits from 2 practitioners
Practice locations: Homestead, FL

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
10D2253399Sina Medical Center, LLC1541 SE 12TH Ave, Suite 29, Homestead, FL 33034Provider-performed microscopyFeb 22, 2028

National Provider Directory

National Provider Directory

Locations

1541 SE 12th Ave
Ste 29
Homestead, FL 33034
Phone (305) 242-0360

1541 SE 12th Ave
Ste 21
Homestead, FL 33034

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1620000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697500800000",
    "number": "1407439078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1541 SE 12TH AVE STE 29",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330342699",
            "telephone_number": "786-640-1424",
            "fax_number": "786-601-7124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1541 SE 12TH AVE STE 29",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330342699",
            "telephone_number": "786-640-1424",
            "fax_number": "786-601-7124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SINA MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-03",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A",
        "authorized_official_last_name": "CASTRO",
        "authorized_official_first_name": "LAZARO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT/MANAGER",
        "authorized_official_telephone_number": "786-719-5201"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Research",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113623100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Homestead, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; 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.