MED LAKE CENTER
NPI 1063814465
Health Maintenance Organization in Miami Lakes, FL

NPI Status: Active since September 17, 2014

Contact Information

16371 NW 67TH AVE
MIAMI LAKES, FL
ZIP 33014
Phone: (786) 332-4991
Fax: (786) 409-2037

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  • Organization
  • Health Maintenance Organization

About MED LAKE CENTER

This page provides the complete NPI Profile along with additional information for Med Lake Center, a provider established in Miami Lakes, Florida operating as a Health Maintenance Organization. The healthcare provider is registered in the NPI registry with number 1063814465 assigned on September 2014. The practitioner's primary taxonomy code is 302R00000X with license number MD 62905 (FL). The provider is registered as an organization and their NPI record was last updated 12 years ago. The provider's former legal business name is G & I Medical Research Llc. The authorized official of this NPI record is Mrs. Maria Gisselle Bou Ceo (Ceo Manager)

NPI
1063814465
Provider Legal Name
MED LAKE CENTER
Other Organization Name
G & I MEDICAL RESEARCH LLC
Other Name Type
Former Legal Business Name (4)
Entity Type
Organization
Location Address
16371 NW 67TH AVE MIAMI LAKES, FL 33014
Location Phone
(786) 332-4991
Location Fax
(786) 409-2037
Mailing Address
16371 NW 67TH AVE MIAMI LAKES, FL 33014
Mailing Phone
(786) 332-4991
Mailing Fax
(786) 409-2037
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-17-2014
Last Update Date
09-17-2014
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Health Maintenance Organization

Taxonomy Code
302R00000X
Type
Managed Care Organizations
License No.
MD 62905
License State
FL
Taxonomy Description
(1) A form of health insurance in which its members prepay a premium for the HMO's health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. MARIA GISSELLE BOU CEO

Authorized Official Title
CEO MANAGER
Authorized Official Phone
(786) 332-4991

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1063814465, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
3
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
1
Unchanged
Pos 7
4
Doubled → 8
Pos 8
4
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 8 → 16 → 7 4 → 8 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 2 + 3 + 1 + 6 + 1 + 8 + 4 + 1 + 2 + 24 = 55

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 55 is 60. The difference is the calculated check digit.

60 - 55 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1063814465.

Other Providers at the Same Location


The following 7 providers are registered at the same or a nearby location.

Clinical Ethicist
16371 NW 67TH AVE
MIAMI LAKES, FL 33014
General Practice
16371 NW 67TH AVE
MIAMI LAKES, FL 33014
Clinic/Center (Research)
16371 NW 67TH AVE
MIAMI LAKES, FL 33014
Legal Medicine
16371 NW 67TH AVE
MIAMI LAKES, FL 33014
Pediatrics (Pediatric Allergy/Immunology)
16371 NW 67TH AVE
MIAMI LAKES, FL 33014
Pediatrics (Pediatric Allergy/Immunology)
16371 NW 67TH AVE
MIAMI LAKES, FL 33014
Pediatrics (Pediatric Allergy/Immunology)
16371 NW 67TH AVE
MIAMI LAKES, FL 33014

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063814465, enumerated as an "organization" on September 17, 2014.

The provider is located at 16371 NW 67TH AVE MIAMI LAKES, FL 33014 and the phone number is (786) 332-4991.

Health Maintenance Organization with taxonomy code 302R00000X.