Organization Active NPI

Ninojesus Medical Center LLC

  • General Practice Physician
  • Hialeah, FL
National Provider Identifier
1538952973
Registry record updated Jan 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
NINOJESUS MEDICAL CENTER LLC
Practice address
7600 W 20TH Ave Ste 101
Hialeah, FL 33016-1895
Phone
(305) 456-4096
Fax
(786) 828-7995
NPI assigned
May 28, 2025
Last updated
Jan 29, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2026

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

Authorized official

Name
Carlos Diaz Valladares, APRNNPI 1215506878
Title
Owner
Phone
(305) 456-4096

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X Primary
Family Nurse Practitioner 363LF0000X

Addresses

Primary practice location

7600 W 20TH Ave Ste 101
Hialeah, FL 33016-1895

Mailing address

16400 SW 173Rd Ave
Miami, FL 33187-1251
Phone (305) 456-4096

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250801000951 FL Part B Supplier - Clinic/Group Practice 8426566431 Receives reassigned benefits from 3 practitioners
Practice locations: Hialeah, FL

National Provider Directory

National Provider Directory

Locations

1850 SW 8th St
Ste 500A
Miami, FL 33135

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1748390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769644800000",
    "number": "1538952973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16400 SW 173RD AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331871251",
            "telephone_number": "305-456-4096",
            "fax_number": "786-828-7995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 W 20TH AVE STE 101",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330161895",
            "telephone_number": "305-456-4096",
            "fax_number": "786-828-7995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NINOJESUS MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-28",
        "last_updated": "2026-01-29",
        "certification_date": "2026-01-29",
        "status": "A",
        "authorized_official_last_name": "DIAZ VALLADARES",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-456-4096",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.