Active NPI
Ninojesus Medical Center LLC
- General Practice Physician
- Hialeah, FL
National Provider Identifier
1538952973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- 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, 2026
- 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
- Carlos Diaz Valladares, APRN
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Family Nurse Practitioner
- Miami, FL
- NPI 1215506878
-
- Surgery Physician
- Miami, FL
- NPI 1992969745
-
- Psychiatric/Mental Health Nurse Practitioner
- Sweetwater, FL
- NPI 1861970428
Multi-Specialty
-
- Family Nurse Practitioner
- Miami Beach, FL
- NPI 1811562234
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.