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

NPI Status: Active since August 05, 2022

Contact Information

16430 NW 59TH AVE
MIAMI LAKES, FL
ZIP 33014
Phone: (305) 456-0148

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  • Organization
  • Nurse Practitioner
  • Family
  • Accepts Insurance

About BLUE DIAMOND MEDICAL CENTER CORP.

This page provides the complete NPI Profile along with additional information for Blue Diamond Medical Center Corp., a provider established in Miami Lakes, Florida operating as a Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1245967587 assigned on August 2022. The practitioner's primary taxonomy code is 363LF0000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Blue Diamond Medical Center Corp. operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Marcos Jose Carvajal Aprn (Aprn-fnp)

NPI
1245967587
Provider Name
BLUE DIAMOND MEDICAL CENTER CORP.
Entity Type
Organization
Location Address
16430 NW 59TH AVE MIAMI LAKES, FL 33014
Location Phone
(305) 456-0148
Mailing Address
16430 NW 59TH AVE STE 202 MIAMI LAKES, FL 33014
Mailing Phone
(305) 456-0148
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-05-2022
Last Update Date
04-15-2023
Code Navigator

A nurse practitioner (NP) like Blue Diamond Medical Center Corp. is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Family

Taxonomy Code
363LF0000X
Type
Physician Assistants & Advanced Practice Nursing Providers

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207Q00000XAllopathic & Osteopathic Physicians

Family Medicine

 
22084P0800XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Psychiatry

 
3363LP0808XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Psychiatric/Mental Health

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze 4 - HMO
  • Bronze 8 - HMO
  • Gold 1 - HMO
  • Gold 1 with Adult Vision Services - HMO
  • Gold 8 - HMO
  • Silver 1 - HMO
  • Silver 1 with Adult Vision Services - HMO
  • Silver 12 with First 4 Primary Care Visits Free - HMO
  • Silver 8 - HMO
  • Silver 9 - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MARCOS JOSE CARVAJAL APRN

Authorized Official Title
APRN-FNP
Authorized Official Phone
(305) 456-0148

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1245967587
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
228518614516
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 8 + 5 + 1 + 8 + 6 + 1 + 4 + 5 + 1 + 6 + 24 = 73
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 73 = 77

The NPI number 1245967587 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

LELLANYS PINO

Nurse Practitioner

(Family)

16430 NW 59TH AVE
MIAMI LAKES, FL
ZIP 33014

(305) 456-0148

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245967587, enumerated as an "organization" on August 05, 2022.

The provider is located at 16430 NW 59TH AVE MIAMI LAKES, FL 33014 and the phone number is (305) 456-0148.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

The provider might be accepting Accepts: Molina Healthcare. Please consult your insurance carrier or call the provider to verify.