Dr Dialysis LLC

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

DR DIALYSIS LLC

Practice address

1680 NE 164TH St
North Miami Beach, FL 33162-4017

Phone

(305) 749-6774

Fax

(305) 749-6869

NPI assigned

Oct 29, 2024

Organization subpart

No

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

Authorized official

Name

Daly Rodriguez Duran

Title

Owner/Administrator

Phone

(786) 445-3311

Specialties & licenses 1

Addresses

Other names 1

• DR Dialysis LLC Former legal business name

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Listed as

Dr Dialysis LLCCCN 682801

Ownership

Profit

Certified

Apr 15, 2025

Medicare certification status

ActiveFrom the Provider of Services file

Dialysis stations

16

Locations

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

{
    "created_epoch": "1730160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730419200000",
    "number": "1790507879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1680 NE 164TH ST",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331624017",
            "telephone_number": "305-749-6774",
            "fax_number": "305-749-6869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1680 NE 164TH ST",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331624017",
            "telephone_number": "305-749-6774",
            "fax_number": "305-749-6869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-29",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ DURAN",
        "authorized_official_first_name": "DALY",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "786-445-3311"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DR Dialysis LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "DR Dialysis LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Helen Donatelli, M.D.
• Denise Douglas, M.AC, A.P
• Dove Medical Centers LLC
• Downlinks LLC
• Dr Alan Grossman PA
• Dr Jill Turner, OD, PA
• Dr Joan Lyn Family Medicine P a
• Dr Joan Lyn Family Medicine P a
• Dr Services USA Corp
• Dr. Andy Green Dermatology

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in North Miami Beach, FL
• Providers in North Miami Beach, FL by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2024; 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.