Sierra Medical Center Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2943935 Issued in FL

Legal business name

SIERRA MEDICAL CENTER INC

Practice address

16351 NW 67TH Avenue
Miami Lakes, FL 33014

Phone

(305) 821-6651

Fax

(305) 822-6173

NPI assigned

Apr 29, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Lydia M Sierra, CEO

Title

Ceo President

Phone

(305) 821-6651

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 3

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.

• Genibert Perez-Puelles, MD

  • Internal Medicine Physician
  • Miami, FL
  • NPI 1891051678
  Medicare reassignment NPD
• Scott B Halperin, M.D.

  • Internal Medicine Physician
  • Hialeah, FL
  • NPI 1972546612
  NPD (past)
• Cheryl Lynne Deets, D.O.

  • Family Medicine Physician
  • Hardeeville, SC
  • NPI 1053401893
  NPD (past)

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209427200000",
    "number": "1609041839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16351 NW 67TH AVENUE",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "33014",
            "telephone_number": "305-821-6651",
            "fax_number": "305-822-6173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16351 NW 67TH AVENUE",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "33014",
            "telephone_number": "305-821-6651",
            "fax_number": "305-822-6173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIERRA MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-29",
        "last_updated": "2008-04-29",
        "status": "A",
        "authorized_official_last_name": "SIERRA",
        "authorized_official_first_name": "LYDIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO PRESIDENT",
        "authorized_official_telephone_number": "305-821-6651",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "2943935",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GRP",
            "identifier": "39712",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "000112132",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Sibori, PTA
• Siempre Jovenes Adult Day Care, LLC
• Sien Therapy LLC
• Briana Sierra Gonzalez
• Sierra Lifecare, Inc.
• Leonardo Javier Sierra Rodriguez, TLHT PHYSICIAN ASSIS
• Luis Manuel Sierra
• Nicolas James Sierra, RBT
• Candice Maria Silebi, LMHC
• Ricardo Silva Cruz

• Family Medicine Physician in Miami Lakes, FL
• Providers in Miami Lakes, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; 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.