Organization Active NPI

L&R Medical Center

  • Adult Medicine Physician
  • Miami, FL
National Provider Identifier
1548283500
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
ME33465 Issued in FL
Legal business name
L&R MEDICAL CENTER
Practice address
1644 NW 17TH Ave
Miami, FL 33125-2327
Phone
(305) 326-9515
Fax
(305) 326-9516
NPI assigned
Jul 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Vivian Hernandez
Title
President
Phone
(305) 326-9515

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QA0505X ME33465 FL Primary

Addresses

Primary practice location

1644 NW 17TH Ave
Miami, FL 33125-2327

Mailing address

1644 NW 17TH Ave
Miami, FL 33125-2327
Phone (305) 326-9515

National Provider Directory

National Provider Directory

Locations

1644 NW 17th Ave
Miami, FL 33125
Phone (305) 326-9515

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1548283500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1644 NW 17TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331252327",
            "telephone_number": "305-326-9515",
            "fax_number": "305-326-9516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1644 NW 17TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331252327",
            "telephone_number": "305-326-9515",
            "fax_number": "305-326-9516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L&R MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "VIVIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-326-9515"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": "FL",
            "license": "ME33465",
            "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 Aug 22, 2020; 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.