NPIMap

Organization Active NPI

Clinica Las Mercedes, LLC

  • Multi-Specialty Clinic/Center
  • Miami, FL
National Provider Identifier
1902312754
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
CLINICA LAS MERCEDES, LLC
Practice address
9853 SW 40 Street
Miami, FL 33165
Phone
(305) 223-4685
Fax
(305) 554-0969
NPI assigned
Dec 15, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2024

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

Authorized official

Name
Jorge Raad
Title
Authorized Official
Phone
(786) 233-6981

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

9853 SW 40 Street
Miami, FL 33165

Mailing address

6355 NW 36TH St
East Building, Ste 1100
Virginia Gardens, FL 33166
Phone (786) 233-6981

Other names 1

  • LAS MERCEDES MEDICAL CENTERS Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041119000908 FL Part B Supplier - Clinic/Group Practice 5890750731 Receives reassigned benefits from 65 practitioners
9 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Hialeah, FL; Tamarac, FL; Plantation, FL; Pembroke Pines, FL; North Miami, FL; Miami, FL; Homestead, FL

Other NPIs on the same Medicare enrollment 9

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Clinica Las Mercedes LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

2750 W 68th St
Ste 127128
Hialeah, FL 33016
Phone (305) 558-0765

290 NE 8th St
Homestead, FL 33030
Phone (305) 537-4777

9853 SW 40th St
Miami, FL 33165
Phone (305) 223-4685

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1513296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713398400000",
    "number": "1902312754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6355 NW 36TH ST",
            "address_2": "EAST BUILDING, STE 1100",
            "city": "VIRGINIA GARDENS",
            "state": "FL",
            "postal_code": "33166",
            "telephone_number": "786-233-6981",
            "fax_number": "786-322-2317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9853 SW 40 STREET",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33165",
            "telephone_number": "305-223-4685",
            "fax_number": "305-554-0969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA LAS MERCEDES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-15",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A",
        "authorized_official_last_name": "RAAD",
        "authorized_official_first_name": "JORGE",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "786-233-6981"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LAS MERCEDES MEDICAL CENTERS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 18, 2024; 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.