PALM MEDICAL CENTER HIALEAH, LLC
NPI 1306347661
Clinic/Center in Hialeah, FL

Active since February 22, 2018CLIA 10D0725384 · Waiver
1401 E 4TH AVE STE 104, HIALEAH, FL 33010(305) 888-9000 Get Directions Write a Review

NPPES record last updated: February 22, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Palm Medical Center Hialeah, Llc NPPES

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

PALM MEDICAL CENTER HIALEAH, LLC (NPI 1306347661) is a healthcare organization registered as a clinic/center in Hialeah, Florida and active in the NPI registry since February 2018. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Juan M Ortiz, Ceo, as its authorized official.

NPPES Registry Identity

NPI1306347661
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NamePALM MEDICAL CENTER HIALEAH, LLC
Location Address1401 E 4TH AVE STE 104Hialeah, FL 33010-3504
Mailing Address2600 S Douglas Rd Ste 308Coral Gables, FL 33134-6134 · (305) 913-9444
Organization SubpartNo
Authorized OfficialJuan M OrtizCeo · (305) 913-9444
Enumeration DateFebruary 22, 2018
NPI 1306347661 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).
1401 E 4TH AVE STE 104, Hialeah, FL 33010

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 10D0725384

Palm Medical Center Hialeah LLC · Hialeah, FL
Active · expires Aug 31, 2026
CLIA Number10D0725384
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorPaulino Morera Jr
Laboratory Phone(305) 888-9000
Laboratory LocationPalm Medical Center Hialeah LLC1401 E 4th Avenue #104, Hialeah, FL 33010
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.

General Practice
1401 E 4TH AVE STE 104
HIALEAH, FL 33010

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 Palm Medical Center Hialeah, LLC's NPI number?

The NPI number for Palm Medical Center Hialeah, LLC is 1306347661. It was assigned to this organization in the NPPES registry on February 22, 2018.

Where is Palm Medical Center Hialeah, LLC located?

Palm Medical Center Hialeah, LLC is located at 1401 E 4th Ave Ste 104, Hialeah, FL 33010. The listed phone number is (305) 888-9000.

What is Palm Medical Center Hialeah, LLC's specialty?

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

Does Palm Medical Center Hialeah, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0725384) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Palm Medical Center Hialeah, LLC was last updated on February 22, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.