Active NPI
Azure Medical Center LLC
- Community/Behavioral Health Agency
- Hialeah Gardens, FL
National Provider Identifier
1508459157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- AZURE MEDICAL CENTER LLC
- Practice address
- 12963 W Okeechobee Rd Ste 1
Hialeah Gardens, FL 33018-6055 - Phone
- (786) 536-9329
- NPI assigned
- Feb 15, 2021
- 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
- Yadira Cardentey
- Title
- President/Owner
- Phone
- (786) 536-9329
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | |||
| Case Management Agency | 251B00000X | |||
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
12963 W Okeechobee Rd Ste 1
Hialeah Gardens, FL 33018-6055
Mailing address
12963 W Okeechobee Rd Ste 1
Hialeah Gardens, FL 33018-6055
Phone (786) 536-9329
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 109727500 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
12963 W Okeechobee Rd
Ste 1
Hialeah Gardens, FL 33018
Phone (786) 420-9282
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Coral Gables, FL
- NPI 1851490882
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613347200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1705449600000",
"number": "1508459157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12963 W OKEECHOBEE RD STE 1",
"city": "HIALEAH GARDENS",
"state": "FL",
"postal_code": "330186055",
"telephone_number": "786-536-9329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12963 W OKEECHOBEE RD STE 1",
"city": "HIALEAH GARDENS",
"state": "FL",
"postal_code": "330186055",
"telephone_number": "786-536-9329"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AZURE MEDICAL CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-02-15",
"last_updated": "2024-01-17",
"certification_date": "2024-01-17",
"status": "A",
"authorized_official_last_name": "CARDENTEY",
"authorized_official_first_name": "YADIRA",
"authorized_official_title_or_position": "PRESIDENT/OWNER",
"authorized_official_telephone_number": "786-536-9329"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": false
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "109727500",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hialeah Gardens, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.