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LA DORADA LLC
NPI 1104771369
Family Medicine in Miami, FL

Active since March 03, 2026CLIA 10D2345245 · Waiver
11880 SW 40TH ST STE 309, MIAMI, FL 33175(305) 224-2290 Get Directions Write a Review

NPPES record last updated: March 3, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About La Dorada Llc NPPES

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

LA DORADA LLC (NPI 1104771369) is a healthcare organization registered as a family medicine in Miami, Florida and active in the NPI registry since March 2026. The organization holds a CLIA Waiver certificate valid through June 7, 2028 and lists Danisleydi Camacho Lopez, Owner, as its authorized official.

NPPES Registry Identity

NPI1104771369
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameLA DORADA LLC
Location Address11880 SW 40TH ST STE 309Miami, FL 33175-3574
Mailing Address11880 Sw 40th St Ste 309Miami, FL 33175-3574
Phone(305) 224-2290
Organization SubpartNo
Authorized OfficialDanisleydi Camacho LopezOwner · (305) 224-2290
Enumeration DateMarch 3, 2026
NPPES CertifiedMarch 3, 2026
✔ NPI 1104771369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
11880 SW 40TH ST STE 309, Miami, FL 33175
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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

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 10D2345245

La Dorada LLC · Miami, FL
Active · expires Jun 7, 2028
CLIA Number10D2345245
Laboratory TypePhysician Office
Certificate Effective DateJune 8, 2026
Certificate Expiration DateJune 7, 2028
Laboratory DirectorOctavio Avila Zamora
Laboratory Phone(786) 542-5215
Laboratory LocationLa Dorada LLC11880 SW 40 St Suite 309, Miami, FL 33175
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

ADVANCED CARE HOME HEALTH AGENCY, INC.
Home Health
11880 SW 40TH ST STE 309
MIAMI, FL 33175
Miami-Dade County (305) 603-9690

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 La Dorada LLC's NPI number?

The NPI number for La Dorada LLC is 1104771369. It was assigned to this organization in the NPPES registry on March 3, 2026.

Where is La Dorada LLC located?

La Dorada LLC is located at 11880 SW 40th St Ste 309, Miami, FL 33175. The listed phone number is (305) 224-2290.

What is La Dorada LLC's specialty?

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

Does La Dorada LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2345245) is associated with this NPI, valid through June 7, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for La Dorada LLC was last updated on March 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.