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JACKSON MEMORIAL HOSPITAL
NPI 1013959972
General Acute Care Hospital in Miami, FL

Active since June 12, 2006CLIA 10D0916747 · Waiver
1611 NW 12TH AVE, MIAMI, FL 33136(305) 585-5513 Get Directions Write a Review

NPPES record last updated: February 10, 2010. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Jackson Memorial Hospital NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACKSON MEMORIAL HOSPITAL (NPI 1013959972) is a healthcare organization registered as a general acute care hospital in Miami, Florida and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through June 28, 2028 and lists Roxanne Cespedes, Director Care-a-van, as its authorized official.

NPPES Registry Identity

NPI1013959972
Entity TypeOrganization
Primary Taxonomy282N00000X
Legal Business NameJACKSON MEMORIAL HOSPITAL
Location Address1611 NW 12TH AVEMiami, FL 33136-1005
Mailing Address759 Nw 174th AvePembroke Pines, FL 33029-3145 · (305) 798-0272
Phone(305) 585-5513
Organization SubpartNo
Authorized OfficialRoxanne CespedesDirector Care-a-van · (305) 585-5513
Enumeration DateJune 12, 2006
Last NPPES UpdateFebruary 10, 2010
✔ NPI 1013959972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral Acute Care HospitalHospitals
Taxonomy Code282N00000X
License✔ Licensed in FL · 1735652
Definition
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.
1611 NW 12TH AVE, Miami, FL 33136
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Other Identifiers 1

Other1477629145.FL · Npi

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D0916747

Jackson Memorial Hosp Point Of Care Testing · Miami, FL
Active · expires Jun 28, 2028
CLIA Number10D0916747
Laboratory TypeHospital
Certificate Effective DateJune 29, 2026
Certificate Expiration DateJune 28, 2028
Laboratory DirectorSallieanne Wright
Laboratory Phone(305) 585-2502
Laboratory LocationJackson Memorial Hosp Point Of Care Testing1611 NW 12th Ave Holtz 2070, Miami, FL 33136
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. AKUA GYANEWAH ASARE MD
Student in an Organized Health Care Education/Training Program
1611 NW 12TH AVE
MIAMI, FL 33136
Miami-Dade County (305) 355-8264
MARILUZ SANCHEZ PHARM.D.
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1611 NW 12TH AVE, PHARMACY ADM. OFFICES/EAST TOWER BASEMENT 069
MIAMI, FL 33136
Miami-Dade County (305) 585-7309
DR. TASHA JOYTI N. D. COOKE TASHA COOKE
Student in an Organized Health Care Education/Training Program
1611 NW 12TH AVE
MIAMI, FL 33136
Miami-Dade County (305) 243-3670
DR. JUANITA ANN MARIE HUNTER M.D.
Pediatrics (Pediatric Cardiology)
1611 NW 12TH AVE
MIAMI, FL 33136
Miami-Dade County (305) 585-6042
WANDA LAVERNE MCGOWAN-BRAYNEN ARNP
Nurse Practitioner (Adult Health)
1611 NW 12TH AVE
MIAMI, FL 33136
Miami-Dade County (305) 585-1111
DR. PERTTI KALEVI HAKALA M.D.
Anesthesiology
1611 NW 12TH AVE, CENTRAL 300
MIAMI, FL 33136
Miami-Dade County (305) 585-6970
JAYLOU M VELEZ TORRES M.D.
Pathology (Anatomic Pathology)
1611 NW 12TH AVE
MIAMI, FL 33136
Miami-Dade County (305) 585-8381
ANNE-ISABELLE SOPHIA REME MD
Surgery
1611 NW 12TH AVE
MIAMI, FL 33136
Miami-Dade County (305) 585-1280

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jackson Memorial Hospital's NPI number?

The NPI number for Jackson Memorial Hospital is 1013959972. It was assigned to this organization in the NPPES registry on June 12, 2006.

Where is Jackson Memorial Hospital located?

Jackson Memorial Hospital is located at 1611 NW 12th Ave, Miami, FL 33136. The listed phone number is (305) 585-5513.

What is Jackson Memorial Hospital's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital with taxonomy code 282N00000X.

Does Jackson Memorial Hospital hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0916747) is associated with this NPI, valid through June 28, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Jackson Memorial Hospital accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Jackson Memorial Hospital as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jackson Memorial Hospital was last updated on February 10, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.