BLUE LAKE MEDICAL CENTER, INC.
NPI 1114512670
Clinic/Center in Hialeah, FL

Q: What is Blue Lake Medical Center, Inc.'s NPI number?

The NPI number for Blue Lake Medical Center, Inc. is 1114512670. It was assigned to this organization in the NPPES registry on March 7, 2021.

Q: What is Blue Lake Medical Center, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Active since March 07, 2021

2360 W 68TH ST STE 122, HIALEAH, FL 33016(305) 200-5705(305) 392-1217 Get Directions Write a Review

NPPES record last updated: March 7, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Blue Lake Medical Center, Inc. NPPES

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

BLUE LAKE MEDICAL CENTER, INC. (NPI 1114512670) is a healthcare organization registered as a clinic/center in Hialeah, Florida and active in the NPI registry since March 2021. The organization lists Jorge Garcia, Credentialing Director, as its authorized official.

NPPES Registry Identity

NPI1114512670

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameBLUE LAKE MEDICAL CENTER, INC.

Location Address2360 W 68TH ST STE 122Hialeah, FL 33016-5502

Mailing Address2360 W 68th St Ste 122Hialeah, FL 33016-5502 · (305) 200-5705 · Fax (305) 392-1217

Phone(305) 200-5705

Fax(305) 392-1217

Organization SubpartNo

Authorized OfficialJorge GarciaCredentialing Director · (305) 606-0337

Enumeration DateMarch 7, 2021

NPPES CertifiedMarch 7, 2021

✔ NPI 1114512670 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

2360 W 68TH ST STE 122, Hialeah, FL 33016

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Other Providers at the Same Location NPPES

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

DR. ALBERTO BURGOS-TIBURCIO MD

Internal Medicine

2360 W 68TH ST STE 122
HIALEAH, FL 33016

Miami-Dade County (305) 200-5705

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 Lake Medical Center, Inc.'s NPI number?

The NPI number for Blue Lake Medical Center, Inc. is 1114512670. It was assigned to this organization in the NPPES registry on March 7, 2021.

Where is Blue Lake Medical Center, Inc. located?

Blue Lake Medical Center, Inc. is located at 2360 W 68th St Ste 122, Hialeah, FL 33016. The listed phone number is (305) 200-5705.

What is Blue Lake Medical Center, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Blue Lake Medical Center, Inc. was last updated on March 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.