Organization Active NPI

Deluxe Health Center LLC

  • Clinic/Center
  • Miami Lakes, FL
National Provider Identifier
1790355089
Registry record updated Jan 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
DELUXE HEALTH CENTER LLC
Practice address
5795 NW 151St St Ste B
Miami Lakes, FL 33014-2479
Phone
(305) 951-6392
Fax
(786) 615-2359
NPI assigned
Jun 29, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2022

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

Authorized official

Name
Mr. Herbie Pimentel, N/A
Title
President
Phone
(305) 951-6392

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RS0012X
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

5795 NW 151St St Ste B
Miami Lakes, FL 33014-2479

Mailing address

5795 NW 151St St Ste B
Miami Lakes, FL 33014-2479
Phone (305) 951-6392

Other names 1

  • DELUXE HEALTH CENTER LLC Former legal business name

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
10D2193565Deluxe Health Center, LLC5795 NW 151St St Ste B, Miami Lakes, FL 33014Certificate of waiverSep 22, 2026

National Provider Directory

National Provider Directory

Locations

5795 NW 151st St
#B
Miami Lakes, FL 33014
Phone (305) 951-6392

NPI Registry JSON

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

{
    "created_epoch": "1624924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641859200000",
    "number": "1790355089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5795 NW 151ST ST STE B",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142479",
            "telephone_number": "305-951-6392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5795 NW 151ST ST STE B",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142479",
            "telephone_number": "305-951-6392",
            "fax_number": "786-615-2359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELUXE HEALTH CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-29",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A",
        "authorized_official_last_name": "PIMENTEL",
        "authorized_official_first_name": "HERBIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-951-6392",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "N/A"
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DELUXE HEALTH CENTER LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "DELUXE HEALTH CENTER LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Miami Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.