Organization Active NPI

LS Prime Healthcare Corp

  • Internal Medicine Physician
  • Miami, FL
National Provider Identifier
1427897412
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
LS PRIME HEALTHCARE CORP
Practice address
1080 Brickell Ave Unit 2608
Miami, FL 33131-3988
Phone
(305) 873-4411
NPI assigned
May 21, 2024
Last updated
May 21, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Authorized official

Name
Lesly Silva, MDNPI 1700316379
Title
Onwer
Phone
(305) 873-4411

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

1080 Brickell Ave Unit 2608
Miami, FL 33131-3988

Mailing address

1080 Brickell Ave Unit 2608
Miami, FL 33131-3988
Phone (305) 873-4411

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240626000488 FL Part B Supplier - Clinic/Group Practice 4587108022 Receives reassigned benefits from 1 practitioner
Practice locations: Miami, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1716249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716249600000",
    "number": "1427897412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1080 BRICKELL AVE UNIT 2608",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331313988",
            "telephone_number": "305-873-4411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 BRICKELL AVE UNIT 2608",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331313988",
            "telephone_number": "305-873-4411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LS PRIME HEALTHCARE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-21",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A",
        "authorized_official_last_name": "SILVA",
        "authorized_official_first_name": "LESLY",
        "authorized_official_title_or_position": "ONWER",
        "authorized_official_telephone_number": "305-873-4411",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 May 21, 2024; 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.