Organization Active NPI

LLJ Medical Services Corp

  • Clinic/Center
  • Miami, FL
National Provider Identifier
1437237823
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
HCC6204 Issued in FL
Legal business name
LLJ MEDICAL SERVICES CORP
Practice address
9145 SW 40TH St
Suite 2C
Miami, FL 33165-5371
Phone
(305) 480-7170
Fax
(305) 480-7150
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Lazaro Martinez
Title
President/Owner
Phone
(305) 480-7170

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X HCC6204 FL Primary

Addresses

Primary practice location

9145 SW 40TH St
Suite 2C
Miami, FL 33165-5371

Mailing address

9145 SW 40TH St
Suite 2C
Miami, FL 33165-5371
Phone (305) 480-7170

Other identifiers 1

IdentifierTypeStateIssuer
HCC6204OtherFLAHCA LICENSE

National Provider Directory

National Provider Directory

Locations

9145 SW 40th St
Ste 2C
Miami, FL 33165
Phone (305) 270-6969

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437237823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9145 SW 40TH ST",
            "address_2": "SUITE 2C",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331655371",
            "telephone_number": "305-480-7170",
            "fax_number": "305-480-7150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9145 SW 40TH ST",
            "address_2": "SUITE 2C",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331655371",
            "telephone_number": "305-480-7170",
            "fax_number": "305-480-7150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LLJ MEDICAL SERVICES CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "LAZARO",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "305-480-7170",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "HCC6204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA LICENSE",
            "identifier": "HCC6204",
            "state": "FL"
        }
    ],
    "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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.