Organization Active NPI

Hero Elite Medical Center LLC

  • General Practice Physician
  • Miami Lakes, FL
National Provider Identifier
1972295780
Registry record updated May 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
HERO ELITE MEDICAL CENTER LLC
Practice address
6447 Miami Lakes Dr Ste 204
Miami Lakes, FL 33014-2765
Phone
(786) 351-4493
NPI assigned
May 22, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2023

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

Authorized official

Name
Rosa Isabel Perez
Title
Ceo
Phone
(786) 351-4493

Specialties & licenses 1

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

Addresses

Primary practice location

6447 Miami Lakes Dr Ste 204
Miami Lakes, FL 33014-2765

Mailing address

6447 Miami Lakes Dr Ste 204
Miami Lakes, FL 33014-2765
Phone (786) 351-4493

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
10D2285919Hero Elite Medical Center LLC6447 Miami Lakes Dr Ste 204, Miami Lakes, FL 33014Certificate of waiverJul 19, 2027

National Provider Directory

National Provider Directory

Locations

6447 Miami Lakes Dr
Ste 204
Miami Lakes, FL 33014
Phone (786) 357-2140

NPI Registry JSON

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

{
    "created_epoch": "1684713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684713600000",
    "number": "1972295780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6447 MIAMI LAKES DR STE 204",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142765",
            "telephone_number": "786-351-4493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6447 MIAMI LAKES DR STE 204",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142765",
            "telephone_number": "786-351-4493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERO ELITE MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-22",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "ROSA",
        "authorized_official_middle_name": "ISABEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "786-351-4493"
    },
    "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 Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; 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.