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FARDALES MEDICAL CENTER INC
NPI 1174990915
Clinic/Center - Primary Care in Hialeah, FL

Active since August 27, 2015CLIA Certified · 2 labs
8051 W 24TH AVE STE 9, HIALEAH, FL 33016(305) 400-9702(305) 397-2165 Get Directions Write a Review

NPPES record last updated: May 14, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Fardales Medical Center Inc NPPES

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

FARDALES MEDICAL CENTER INC (NPI 1174990915) is a healthcare organization registered as a primary care in Hialeah, Florida and active in the NPI registry since August 2015. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Pembroke Pines, and lists Maricela Dianexi Fardales, Owner, as its authorized official.

NPPES Registry Identity

NPI1174990915
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameFARDALES MEDICAL CENTER INC
Location Address8051 W 24TH AVE STE 9Hialeah, FL 33016-5596
Mailing Address8051 W 24th Ave Ste 9Hialeah, FL 33016-5596 · (305) 400-9702 · Fax (305) 735-7542
Phone(305) 400-9702
Fax(305) 397-2165
Organization SubpartNo
Authorized OfficialMaricela Dianexi FardalesOwner · (305) 400-9702
Enumeration DateAugust 27, 2015
Last NPPES UpdateMay 14, 2021
NPPES CertifiedMay 14, 2021
✔ NPI 1174990915 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in FL · PA9103093
8051 W 24TH AVE STE 9, Hialeah, FL 33016
Open in Google Maps ↗

Secondary Practice Location 1

Location 11806 N Flamingo Rd Ste 180Pembroke Pines, FL 33028-1029 · Phone (305) 400-9702 · Fax (305) 735-7542

Other Identifiers 1

Medicaid004570500FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

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 10D2145172

Fardales Medical Center · Pembroke Pines, FL
Active · expires Mar 1, 2028
CLIA Number10D2145172
Laboratory TypePhysician Office
Certificate Effective DateMarch 2, 2026
Certificate Expiration DateMarch 1, 2028
Laboratory DirectorMaricela D. Fardales
Laboratory Phone(305) 400-9702
Laboratory LocationFardales Medical Center1806 N Flamingo Road Ste 180, Pembroke Pines, FL 33028
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2131006

Fardales Medical Center Inc · Hialeah, FL
Active · expires May 21, 2027
CLIA Number10D2131006
Laboratory TypePhysician Office
Certificate Effective DateMay 22, 2025
Certificate Expiration DateMay 21, 2027
Laboratory DirectorMaricela D. Fardales
Laboratory Phone(305) 400-9702
Laboratory LocationFardales Medical Center Inc8051 W 24 Ave Ste 9, Hialeah, FL 33016
CLIA data matches this NPI record on: Name Phone
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.

MARICELA DIANEXI FARDALES PA
Physician Assistant (Medical)
8051 W 24TH AVE STE 9
HIALEAH, FL 33016
Miami-Dade County (305) 400-9702

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 Fardales Medical Center Inc's NPI number?

The NPI number for Fardales Medical Center Inc is 1174990915. It was assigned to this organization in the NPPES registry on August 27, 2015.

Where is Fardales Medical Center Inc located?

Fardales Medical Center Inc is located at 8051 W 24th Ave Ste 9, Hialeah, FL 33016. The listed phone number is (305) 400-9702.

What is Fardales Medical Center Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Fardales Medical Center Inc hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Fardales Medical Center Inc accept?

Health plans from Molina Healthcare list Fardales Medical Center Inc 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 Fardales Medical Center Inc was last updated on May 14, 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.