Kidney Specialty Center Inc.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

KIDNEY SPECIALTY CENTER INC.

Practice address

219 NW 12TH Ave
Suite C5
Miami, FL 33128-2205

Phone

(305) 548-4063

Fax

(305) 545-1515

NPI assigned

May 10, 2012

Organization subpart

No

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

Authorized official

Name

Juan Cuellar, MDNPI 1285617621

Title

Owner

Phone

(305) 548-4063

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Networks

• HealthSun Health Plans Network

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Juan M Cuellar, MD

  • Nephrology Physician
  • Miami, FL
  • NPI 1285617621
  Medicare reassignment Care Compare group NPD Authorized official
• Alba Maria Gonzalez-Ochoa, MD

  • Nephrology Physician
  • Miami, FL
  • NPI 1376752816
  Medicare reassignment Care Compare group NPD
• Jorge M Diego, MD

  • Nephrology Physician
  • Shelbyville, IN
  • NPI 1669400198

  FL

  Medicare reassignment NPD
• Oscar G Galvez, MD

  • Nephrology Physician
  • Miami, FL
  • NPI 1578660650
  NPD (past)
• Delio Guillermo Gomez

  • Family Nurse Practitioner
  • Hialeah, FL
  • NPI 1417575275
  NPD (past)
• Diana Cristina Londono, MD

  • Urology Physician
  • Glendora, CA
  • NPI 1144521329
  NPD (past)

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

{
    "created_epoch": "1336608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632441600000",
    "number": "1679832679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 NW 12TH AVE",
            "address_2": "SUITE C5",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331282205",
            "telephone_number": "305-548-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 NW 12TH AVE",
            "address_2": "SUITE C5",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331282205",
            "telephone_number": "305-548-4063",
            "fax_number": "305-545-1515"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4302 Alton Rd Ste 760",
            "address_purpose": "LOCATION",
            "city": "Miami Beach",
            "state": "FL",
            "postal_code": "331402893",
            "country_code": "US",
            "telephone_number": "305-548-4063",
            "fax_number": "305-545-1515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KIDNEY SPECIALTY CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-10",
        "last_updated": "2021-09-24",
        "certification_date": "2021-09-24",
        "status": "A",
        "authorized_official_last_name": "CUELLAR",
        "authorized_official_first_name": "JUAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-548-4063",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kidney Health Solutions LLC
• Kidney Institute of Miami LLC
• Kidney MD LLC
• Kidney Partners Coral Gables LLC
• Kidney Spa LLC
• Kidney Treatment and Hypertension Associates PA
• Kidneyspa at Bird Road, LLC
• Kids Advante Mental Corp
• Kids Behaviors
• Kids Behaviors LLC

• Nephrology Physician in Miami, FL
• Providers in Miami, FL by specialty
• Nephrology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2021; 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.