Active NPI
LLJ Medical Services Corp
- Clinic/Center
- Miami, FL
National Provider Identifier
1437237823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- HCC6204
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HCC6204 | Other | FL | AHCA LICENSE |
National Provider Directory
National Provider DirectoryLocations
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.