Organization Active NPI

Azure Medical Center LLC

  • Community/Behavioral Health Agency
  • Hialeah Gardens, FL
National Provider Identifier
1508459157
Registry record updated Jan 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
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

Updated by the provider on Jan 17, 2024

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)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
109727500MedicaidFL

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.