Organization Active NPI

Blue Florida Medical Center LLC

  • Clinic/Center
  • Miami, FL
National Provider Identifier
1639003783
Registry record updated Jun 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
BLUE FLORIDA MEDICAL CENTER LLC
Practice address
3850 SW 87TH Ave Ste 202
Miami, FL 33165-5473
Phone
(786) 542-9962
Fax
(786) 542-9994
NPI assigned
Jun 11, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2026

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

Authorized official

Name
Omar Yzquierdo Chavez
Title
Ambr
Phone
(786) 474-8673

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary
Multi-Specialty Clinic/Center 261QM1300X
Physical Therapy Clinic/Center 261QP2000X

Addresses

Primary practice location

3850 SW 87TH Ave Ste 202
Miami, FL 33165-5473

Mailing address

3850 SW 87TH Ave Ste 202
Miami, FL 33165-5473
Phone (786) 542-9962

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1781136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781136000000",
    "number": "1639003783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3850 SW 87TH AVE STE 202",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331655473",
            "telephone_number": "786-542-9962",
            "fax_number": "786-542-9994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3850 SW 87TH AVE STE 202",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331655473",
            "telephone_number": "786-542-9962",
            "fax_number": "786-542-9994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE FLORIDA MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-11",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A",
        "authorized_official_last_name": "YZQUIERDO CHAVEZ",
        "authorized_official_first_name": "OMAR",
        "authorized_official_title_or_position": "AMBR",
        "authorized_official_telephone_number": "786-474-8673"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Jun 11, 2026; 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.