Latino Medical Center IV, Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

LATINO MEDICAL CENTER IV, INC

Practice address

12800-12880 NWW 7TH Ave
North Miami, FL 33168

Phone

(786) 636-6183

Fax

(786) 657-2623

NPI assigned

Aug 6, 2020

Organization subpart

Yes

Parent organization

LATINO MEDICAL CENTER IV, INCAs reported in NPPES

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

Authorized official

Name

Rodney Joseph

Title

President

Phone

(305) 879-9526

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Latino Medical Center IV Inc

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

{
    "created_epoch": "1596672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596672000000",
    "number": "1629688304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12800-12880 NWW 7TH AVE",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "33168",
            "telephone_number": "786-636-6183",
            "fax_number": "786-657-2623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12800-12880 NWW 7TH AVE",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "33168",
            "telephone_number": "786-636-6183",
            "fax_number": "786-657-2623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LATINO MEDICAL CENTER IV, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LATINO MEDICAL CENTER IV, INC",
        "enumeration_date": "2020-08-06",
        "last_updated": "2020-08-06",
        "certification_date": "2020-08-06",
        "status": "A",
        "authorized_official_last_name": "JOSEPH",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-879-9526"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010902500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rolande Larrimore, RN
• Dalia Larson
• Las Mercedes Adult Day Care V, LLC
• Las Sha Services Inc
• Melissa Lasalle
• Latino Medical Center VII Inc.
• Anays Lau, PA-C
• Paula Laufer, LMHC
• Michelle Laurat
• Leana Laurencin, ARNP

• Internal Medicine Physician in North Miami, FL
• Providers in North Miami, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.