Active NPI
Familiar Medical Center LLC
- Internal Medicine Physician
- Hialeah, FL
National Provider Identifier
1902458979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- FAMILIAR MEDICAL CENTER LLC
- Practice address
- 777 E 25TH St Ste 101
Hialeah, FL 33013-3804 - Phone
- (786) 953-5695
- NPI assigned
- Jul 10, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jorge Diaz Valdes, MD
- Title
- Member
- Phone
- (786) 953-5695
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
777 E 25TH St Ste 101
Hialeah, FL 33013-3804
Mailing address
777 E 25TH St Ste 101
Hialeah, FL 33013-3804
Phone (786) 718-9661
Other practice location 1
9380 SW 150th St Ste 260
Miami, FL 33176-7947
Phone (305) 964-5582
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | AdvancedMD | ||
| Other URL | AdvanceMD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2328857 | Familiar Medical Center LLC | Certificate of waiver | Aug 18, 2027 |
| 10D2328861 | Familiar Medical Center LLC | Certificate of waiver | Aug 18, 2027 |
National Provider Directory
National Provider DirectoryLocations
8000 NW 7th St
Ste 102
Miami, FL 33126
Phone (305) 400-8005
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Miami, FL
- NPI 1891116471
-
- Family Nurse Practitioner
- Hialeah, FL
- NPI 1770362857
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562716800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1731542400000",
"number": "1902458979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "777 E 25TH ST STE 101",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330133804",
"telephone_number": "786-718-9661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 E 25TH ST STE 101",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330133804",
"telephone_number": "786-953-5695"
}
],
"practiceLocations": [
{
"address_1": "9380 SW 150th St Ste 260",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331767947",
"country_code": "US",
"telephone_number": "305-964-5582",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "FAMILIAR MEDICAL CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-07-10",
"last_updated": "2024-11-14",
"certification_date": "2024-11-14",
"status": "A",
"authorized_official_last_name": "VALDES",
"authorized_official_first_name": "JORGE",
"authorized_official_middle_name": "DIAZ",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "786-953-5695",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "AdvancedMD",
"affiliation": "N",
"address_1": "777 E 25th St Ste 101",
"city": "Hialeah",
"state": "FL",
"country_code": "US",
"postal_code": "330133804",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "AdvanceMD",
"affiliation": "N",
"address_1": "777 E 25th St Ste 101",
"city": "Hialeah",
"state": "FL",
"country_code": "US",
"postal_code": "330133804",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Hialeah, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.