Organization Active NPI

Lifecare Med Center LLC

  • Family Medicine Physician
  • Miami, FL
National Provider Identifier
1659092286
Registry record updated Sep 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
LIFECARE MED CENTER LLC
Practice address
3011 W Flagler St
Miami, FL 33135-1222
Phone
(305) 400-2255
Fax
(305) 400-2245
NPI assigned
Sep 12, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2022

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

Authorized official

Name
Roxana Estevez
Title
President
Phone
(305) 303-1638

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

3011 W Flagler St
Miami, FL 33135-1222

Mailing address

3011 W Flagler St
Miami, FL 33135-1222
Phone (305) 400-2255

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221021001078 FL Part B Supplier - Clinic/Group Practice 5698141216 Receives reassigned benefits from 3 practitioners
Practice locations: Miami, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2272980Lifecare Med Center, LLC3011 W Flagler St, Miami, FL 33135Certificate of waiverDec 4, 2026

National Provider Directory

National Provider Directory

Locations

3011 W Flagler St
Miami, FL 33135
Phone (305) 856-9775

3011 W Flagler St
Ste A
Miami, FL 33135
Phone (305) 400-2255

Practitioners & affiliated clinicians

Practitioners 3

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": "1662940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662940800000",
    "number": "1659092286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3011 W FLAGLER ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331351222",
            "telephone_number": "305-400-2255",
            "fax_number": "305-400-2245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3011 W FLAGLER ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331351222",
            "telephone_number": "305-400-2255",
            "fax_number": "305-400-2245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFECARE MED CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-12",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A",
        "authorized_official_last_name": "ESTEVEZ",
        "authorized_official_first_name": "ROXANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-303-1638"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "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 Sep 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.