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BLUE DIAMOND MEDICAL CENTER CORP.
NPI 1245967587
Nurse Practitioner - Family in Miami Lakes, FL

Active since August 05, 2022
16430 NW 59TH AVE, MIAMI LAKES, FL 33014(305) 456-0148 Get Directions Write a Review

NPPES record last updated: April 15, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 15, 2023, Aug 5, 2022 (2 updates tracked since 2022).

About Blue Diamond Medical Center Corp. NPPES

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

BLUE DIAMOND MEDICAL CENTER CORP. (NPI 1245967587) is a healthcare organization registered as a family in Miami Lakes, Florida and active in the NPI registry since August 2022. The organization lists Marcos Jose Carvajal, Aprn-fnp, as its authorized official.

NPPES Registry Identity

NPI1245967587
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameBLUE DIAMOND MEDICAL CENTER CORP.
Location Address16430 NW 59TH AVEMiami Lakes, FL 33014-5605
Mailing Address16430 Nw 59th Ave Ste 202Miami Lakes, FL 33014-5605 · (305) 456-0148 · Fax (305) 456-7559
Phone(305) 456-0148
Organization SubpartNo
Authorized OfficialMarcos Jose CarvajalAprn-fnp · (305) 456-0148
Enumeration DateAugust 5, 2022
Last NPPES UpdateApril 15, 20232 updates tracked since enumeration
NPPES CertifiedApril 15, 2023
✔ NPI 1245967587 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X
16430 NW 59TH AVE, Miami Lakes, FL 33014
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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

Accepted Insurance

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

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 Diamond Medical Center Corp.'s NPI number?

The NPI number for Blue Diamond Medical Center Corp. is 1245967587. It was assigned to this organization in the NPPES registry on August 5, 2022.

Where is Blue Diamond Medical Center Corp. located?

Blue Diamond Medical Center Corp. is located at 16430 NW 59th Ave, Miami Lakes, FL 33014. The listed phone number is (305) 456-0148.

What is Blue Diamond Medical Center Corp.'s specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

What insurance does Blue Diamond Medical Center Corp. accept?

Health plans from Molina Healthcare list Blue Diamond Medical Center Corp. 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 Blue Diamond Medical Center Corp. was last updated on April 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.