Active NPI
Kevin James Favero-Ortiz, MT(ASCP)
- Clinical Medical Laboratory
- Miami, FL
National Provider Identifier
1760926430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- SU53146
- Practice address
- 3663 S Miami Ave
Miami, FL 33133-4237 - Phone
- (305) 285-2981
- NPI assigned
- Dec 14, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | SU53146 | FL | Primary |
Addresses
Primary practice location
3663 S Miami Ave
Miami, FL 33133-4237
Mailing address
1201 NW 16TH St
Miami, FL 33125-1624
Phone (305) 575-7000
Other names 1
- Mr. Kevin James Favero
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SU53146 | FL | MD | Clinical Medical Laboratory |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1481673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752537600000",
"number": "1760926430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 NW 16TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331251624",
"telephone_number": "305-575-7000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3663 S MIAMI AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331334237",
"telephone_number": "305-285-2981"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAVERO-ORTIZ",
"first_name": "KEVIN",
"middle_name": "JAMES",
"name_prefix": "Mr.",
"credential": "MT(ASCP)",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-12-14",
"last_updated": "2025-07-15",
"certification_date": "2025-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "FL",
"license": "SU53146",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KEVIN",
"last_name": "FAVERO",
"middle_name": "JAMES",
"prefix": "MR.",
"credential": "MT(ASCP)",
"code": "1",
"type": "Former Name"
}
]
}
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 Jul 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.