Southern Winds Hospital LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

SOUTHERN WINDS HOSPITAL LLC

Practice address

4225 W 20TH Ave
Hialeah, FL 33012-5826

Phone

(305) 558-9700

NPI assigned

May 4, 2021

Last updated

May 4, 2021By the provider in NPPES

Organization subpart

Yes

Parent organization

SOUTHERN WINDS HOSPITAL LLCAs reported in NPPES

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

Authorized official

Name

Andrew Brick-Turin

Title

Cfo

Phone

(305) 558-9700

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Southern Winds Hospital LLC

  dba Southern Winds

  • Psychiatric Hospital
  • Hialeah, FL
  • NPI 1285094813

  2264767565

  Same PAC ID

Tax ID family

Southern Winds Hospital LLC2 organizations share this tax ID, including this one

Part of

Southern Winds Hospital LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Southern Winds Hospital LLC

  dba Southern Winds

  • Psychiatric Hospital
  • Hialeah, FL
  • NPI 1285094813
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Southern Winds Hospital LLC

  dba Southern Winds

  • Psychiatric Hospital
  • Hialeah, FL
  • NPI 1285094813
  NPPES parent name

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Irina Licea, MD

  • Family Medicine Physician
  • Miami, FL
  • NPI 1649454091
  Medicare reassignment NPD
• Raul Roa, MD

  • Family Medicine Physician
  • Miami, FL
  • NPI 1316110653
  Medicare reassignment NPD

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

{
    "created_epoch": "1620086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620086400000",
    "number": "1871176222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10800 BISCAYNE BLVD STE 600",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331617499",
            "telephone_number": "305-864-9191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4225 W 20TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330125826",
            "telephone_number": "305-558-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN WINDS HOSPITAL LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTHERN WINDS HOSPITAL LLC",
        "enumeration_date": "2021-05-04",
        "last_updated": "2021-05-04",
        "certification_date": "2021-04-28",
        "status": "A",
        "authorized_official_last_name": "BRICK-TURIN",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "305-558-9700"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Miami Pain & Rehab Center, Inc
• Southeastern Medical Equipment
• Southern Diagnostic Inc
• Southern Market Distributors
• Southern Winds Hospital LLC (Southern Winds)
• Southern Winds Physicians Group LLC (Southern Winds Physician's Group)
• Miyelis Souto Pilotos
• Yenia Souto Pilotos
• Kevin Souza, MD
• Rodrigo Garcia Souza, DDS

• General Practice Physician in Hialeah, FL
• Providers in Hialeah, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.