Organization Active NPI

Dade Florida Clinical Research Center LLC

  • General Practice Physician
  • Miami, FL
National Provider Identifier
1942142872
Registry record updated Apr 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
DADE FLORIDA CLINICAL RESEARCH CENTER LLC
Practice address
7100 SW 99TH Ave Ste 204
Miami, FL 33173-4668
Phone
(786) 457-0768
Fax
(305) 456-4996
NPI assigned
Apr 8, 2026
Last updated
Apr 8, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2026

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

Authorized official

Name
Raidy Richard Concepcion GomezNPI 1740106632
Title
Owner
Phone
(786) 457-0768

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

7100 SW 99TH Ave Ste 204
Miami, FL 33173-4668

Mailing address

7100 SW 99TH Ave Ste 204
Miami, FL 33173-4668
Phone (786) 457-0768

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
10D2313257Dade Florida Clinical Research Center LLC7100 SW 99TH Avenue Suite 204, Miami, FL 33173Certificate of waiverOct 27, 2026

National Provider Directory

National Provider Directory
Tax ID family
Dade Florida Clinical Research Center LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1775606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775606400000",
    "number": "1942142872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 SW 99TH AVE STE 204",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331734668",
            "telephone_number": "786-457-0768",
            "fax_number": "305-456-4996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 SW 99TH AVE STE 204",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331734668",
            "telephone_number": "786-457-0768",
            "fax_number": "305-456-4996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DADE FLORIDA CLINICAL RESEARCH CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-08",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A",
        "authorized_official_last_name": "CONCEPCION GOMEZ",
        "authorized_official_first_name": "RAIDY",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-457-0768"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 8, 2026; 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.