Organization Active NPI

J Blemill Medical Center LLC

  • Primary Care Clinic/Center
  • Miami, FL
National Provider Identifier
1477267300
Registry record updated Jan 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
J BLEMILL MEDICAL CENTER LLC
Practice address
13303 SW 42ND St
Miami, FL 33175-3269
Phone
(305) 227-6497
Fax
(305) 551-2370
NPI assigned
Jan 5, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2023

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

Authorized official

Name
Jennifer Facile Fernandez
Title
Owner
Phone
(305) 227-6497

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

13303 SW 42ND St
Miami, FL 33175-3269

Mailing address

13303 SW 42ND St
Miami, FL 33175-3269
Phone (305) 227-6497

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
10D1039921J Blemill Medical Center LLC13303 SW 42ND St, Miami, FL 33175Certificate of waiverApr 25, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1672876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672876800000",
    "number": "1477267300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13303 SW 42ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753269",
            "telephone_number": "305-227-6497",
            "fax_number": "305-551-2370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13303 SW 42ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753269",
            "telephone_number": "305-227-6497",
            "fax_number": "305-551-2370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J BLEMILL MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-05",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "FACILE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-227-6497"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "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 Jan 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.