BLUE LAGOON MEDICAL CENTER INC
NPI 1083097281
Family Medicine in Hialeah, FL

Active since July 07, 2015
4355 W 16TH AVE STE 211A, HIALEAH, FL 33012(786) 304-9107(786) 364-0230 Get Directions Write a Review

NPPES record last updated: July 8, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Blue Lagoon Medical Center Inc NPPES

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

BLUE LAGOON MEDICAL CENTER INC (NPI 1083097281) is a healthcare organization registered as a family medicine in Hialeah, Florida and active in the NPI registry since July 2015. The organization lists Ricardo Montpeller Acosta, President, as its authorized official.

NPPES Registry Identity

NPI1083097281
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBLUE LAGOON MEDICAL CENTER INC
Location Address4355 W 16TH AVE STE 211AHialeah, FL 33012-7670
Mailing Address4355 W 16th Ave Ste 211aHialeah, FL 33012-7670 · (786) 304-9107 · Fax (786) 364-0230
Fax(786) 364-0230
Organization SubpartNo
Authorized OfficialRicardo Montpeller AcostaPresident · (786) 304-9107
Enumeration DateJuly 7, 2015
Last NPPES UpdateJuly 8, 2015
NPI 1083097281 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedGeneral PracticeTaxonomy 208D00000X
Also ListedClinic/CenterTaxonomy 261Q00000X
4355 W 16TH AVE STE 211A, Hialeah, FL 33012

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Blue Lagoon Medical Center Inc's NPI number?

The NPI number for Blue Lagoon Medical Center Inc is 1083097281. It was assigned to this organization in the NPPES registry on July 7, 2015.

Where is Blue Lagoon Medical Center Inc located?

Blue Lagoon Medical Center Inc is located at 4355 W 16th Ave Ste 211A, Hialeah, FL 33012. The listed phone number is (786) 304-9107.

What is Blue Lagoon Medical Center Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Blue Lagoon Medical Center Inc was last updated on July 8, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.