SAN JUDAS MEDICAL CENTERS INC
NPI 1346043940
Clinic/Center in Hialeah, FL

Active since March 29, 2025CLIA 10D2328595 · Waiver
1255 W 46TH ST STE 3, HIALEAH, FL 33012(786) 718-8282 Get Directions Write a Review

NPPES record last updated: March 29, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About San Judas Medical Centers Inc NPPES

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

SAN JUDAS MEDICAL CENTERS INC (NPI 1346043940) is a healthcare organization registered as a clinic/center in Hialeah, Florida and active in the NPI registry since March 2025. The organization holds a CLIA Waiver certificate valid through August 12, 2027 and lists Anisley Trejo, President, as its authorized official.

NPPES Registry Identity

NPI1346043940
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameSAN JUDAS MEDICAL CENTERS INC
Location Address1255 W 46TH ST STE 3Hialeah, FL 33012-3257
Mailing Address1255 W 46th St Ste 3Hialeah, FL 33012-3257 · (786) 718-8282
Organization SubpartNo
Authorized OfficialAnisley TrejoPresident · (786) 718-8282
Enumeration DateMarch 29, 2025
NPPES CertifiedMarch 29, 2025
✔ NPI 1346043940 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).
1255 W 46TH ST STE 3, Hialeah, FL 33012

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

San Judas Medical Centers Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to San Judas Medical Centers Inc, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1558111559
149 W 21ST ST
Hialeah, FL 33010
(786) 453-8720
✔ PECOS2.2 mi
Family Practice
NPI 1386167575
14601 SW 104TH ST STE 14601
Miami, FL 33186
(786) 275-4322
✔ PECOS✔ Accepts Medicare15 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 10D2328595

San Judas Medical Centers Inc · Hialeah, FL
Active · expires Aug 12, 2027
CLIA Number10D2328595
Laboratory TypePhysician Office
Certificate Effective DateAugust 13, 2025
Certificate Expiration DateAugust 12, 2027
Laboratory DirectorAlberto Orta Iglesias
Laboratory Phone(786) 803-8395
Laboratory LocationSan Judas Medical Centers Inc1255 W 46th Street Suite 3-4, Hialeah, FL 33012
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 San Judas Medical Centers Inc's NPI number?

The NPI number for San Judas Medical Centers Inc is 1346043940. It was assigned to this organization in the NPPES registry on March 29, 2025.

Where is San Judas Medical Centers Inc located?

San Judas Medical Centers Inc is located at 1255 W 46th St Ste 3, Hialeah, FL 33012. The listed phone number is (786) 718-8282.

What is San Judas Medical Centers Inc's specialty?

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

Is San Judas Medical Centers Inc enrolled in Medicare?

Yes. San Judas Medical Centers Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through San Judas Medical Centers Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to San Judas Medical Centers Inc, in Family Practice and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does San Judas Medical Centers Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2328595) is associated with this NPI, valid through August 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for San Judas Medical Centers Inc was last updated on March 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.