NPIMap

Organization Active NPI

Clinica Las Mercedes, LLC

Doing business as Las Mercedes Medical Centers

  • Multi-Specialty Clinic/Center
  • Homestead, FL
National Provider Identifier
1619515871
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
CLINICA LAS MERCEDES, LLC
Doing business as
Las Mercedes Medical Centers
Practice address
290 NE 8TH St
Homestead, FL 33030-4710
Phone
(305) 537-4777
Fax
(305) 537-3222
NPI assigned
Dec 18, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2024

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

Authorized official

Name
Jorge Raad
Title
Authorized Official
Phone
(786) 233-6981

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

290 NE 8TH St
Homestead, FL 33030-4710

Mailing address

6355 NW 36TH St
East Building, Ste 1100
Virginia Gardens, FL 33166
Phone (786) 233-6981

Other names 1

  • Las Mercedes Medical Centers Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041119000908 FL Part B Supplier - Clinic/Group Practice 5890750731 Receives reassigned benefits from 65 practitioners
9 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Hialeah, FL; Tamarac, FL; Plantation, FL; Pembroke Pines, FL; North Miami, FL; Miami, FL; Homestead, FL

Other NPIs on the same Medicare enrollment 9

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 9

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": "1576627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713398400000",
    "number": "1619515871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6355 NW 36TH ST",
            "address_2": "EAST BUILDING, STE 1100",
            "city": "VIRGINIA GARDENS",
            "state": "FL",
            "postal_code": "33166",
            "telephone_number": "786-233-6981",
            "fax_number": "786-322-2317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 NE 8TH ST",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330304710",
            "telephone_number": "305-537-4777",
            "fax_number": "305-537-3222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA LAS MERCEDES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-18",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A",
        "authorized_official_last_name": "RAAD",
        "authorized_official_first_name": "JORGE",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "786-233-6981"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Las Mercedes Medical Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Homestead, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; 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.