Organization Active NPI

Apollo Renal Center Miami LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Miami, FL
National Provider Identifier
1942665807
Registry record updated Dec 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
APOLLO RENAL CENTER MIAMI LLC
Practice address
955 NW 3Rd St
Suite 110
Miami, FL 33128-1274
Phone
(305) 545-3090
Fax
(305) 545-3070
NPI assigned
Dec 20, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2015

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

Authorized official

Name
Federico Alberto Dumenigo Sr.
Title
Executive Director
Phone
(305) 545-3090

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X Primary

Addresses

Primary practice location

955 NW 3Rd St
Suite 110
Miami, FL 33128-1274

Mailing address

2601 SW 37TH Ave
Suite 138
Miami, FL 33133-2700
Phone (305) 448-6261

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160111001590 FL Part A Provider - End-Stage Renal Disease Facility (ESRD) 7517269368 Practice locations: Miami, FL

Care Compare: Dialysis facility

Medicare Care Compare
Listed as
Apollo Renal Center Miami LLCCCN 682611
Overall star rating
1.0 of 5
Ownership
Profit
Certified
Nov 16, 2016
Medicare certification status
ActiveFrom the Provider of Services file
Dialysis stations
16

Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.

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
10D2171493Apollo Renal Center Miami, LLC955 NW 3Rd St #110, Miami, FL 33128Certificate of waiverSep 2, 2027

National Provider Directory

National Provider Directory

Locations

955 NW 3rd St
Ste 110
Miami, FL 33128
Phone (305) 545-3090

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1450569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450569600000",
    "number": "1942665807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 SW 37TH AVE",
            "address_2": "SUITE 138",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331332700",
            "telephone_number": "305-448-6261",
            "fax_number": "305-448-6268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 NW 3RD ST",
            "address_2": "SUITE 110",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331281274",
            "telephone_number": "305-545-3090",
            "fax_number": "305-545-3070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APOLLO RENAL CENTER MIAMI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-20",
        "last_updated": "2015-12-20",
        "status": "A",
        "authorized_official_last_name": "DUMENIGO",
        "authorized_official_first_name": "FEDERICO",
        "authorized_official_middle_name": "ALBERTO",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "305-545-3090",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "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 Dec 20, 2015; 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.