KENDALL FAMILY MEDICAL CENTER, CORP.
NPI 1376784801
Family Medicine in Miami, FL

Q: What is Kendall Family Medical Center, Corp.'s NPI number?

The NPI number for Kendall Family Medical Center, Corp. is 1376784801. It was assigned to this organization in the NPPES registry on March 12, 2009.

Q: What is Kendall Family Medical Center, Corp.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since March 12, 2009CLIA 10D2025670 · Waiver

11760 SW 40TH ST STE 112, MIAMI, FL 33175(305) 552-6969(305) 552-6775 Get Directions Write a Review

NPPES record last updated: March 12, 2009. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Kendall Family Medical Center, Corp. NPPES

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

KENDALL FAMILY MEDICAL CENTER, CORP. (NPI 1376784801) is a healthcare organization registered as a family medicine in Miami, Florida and active in the NPI registry since March 2009. The organization holds a CLIA Waiver certificate valid through June 14, 2027 and lists Jorge Acosta, Vice President, as its authorized official.

NPPES Registry Identity

NPI1376784801

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameKENDALL FAMILY MEDICAL CENTER, CORP.

Location Address11760 SW 40TH ST STE 112Miami, FL 33175-3589

Mailing Address11760 Sw 40th St Ste 112Miami, FL 33175-3589 · (305) 552-6969 · Fax (305) 552-6775

Phone(305) 552-6969

Fax(305) 552-6775

Organization SubpartNo

Authorized OfficialJorge AcostaVice President · (305) 485-7979

Enumeration DateMarch 12, 2009

✔ NPI 1376784801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

11760 SW 40TH ST STE 112, Miami, FL 33175

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kendall Family Medical Center, Corp. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Kendall Family Medical Center, Corp., which bills Medicare for the services this clinician delivers.

Clinician (1)

Juan Duque, M.D.

Family Practice

NPI 1124105846

11760 SW 40TH ST # ST.112
Miami, FL 33175

(305) 552-6969

✔ PECOS✔ Accepts MedicareSame address

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 10D2025670

Kendall Family Medical Center · Miami, FL

Active · expires Jun 14, 2027

CLIA Number10D2025670

Laboratory TypePhysician Office

Certificate Effective DateJune 15, 2025

Certificate Expiration DateJune 14, 2027

Laboratory DirectorJuan M. Duque

Laboratory Phone(305) 552-6969

Laboratory LocationKendall Family Medical Center11760 SW 40 St Ste 112, Miami, FL 33175

CLIA data matches this NPI record on: Name Phone

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 Kendall Family Medical Center, Corp.'s NPI number?

The NPI number for Kendall Family Medical Center, Corp. is 1376784801. It was assigned to this organization in the NPPES registry on March 12, 2009.

Where is Kendall Family Medical Center, Corp. located?

Kendall Family Medical Center, Corp. is located at 11760 SW 40th St Ste 112, Miami, FL 33175. The listed phone number is (305) 552-6969.

What is Kendall Family Medical Center, Corp.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kendall Family Medical Center, Corp. enrolled in Medicare?

Yes. Kendall Family Medical Center, Corp. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kendall Family Medical Center, Corp.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Kendall Family Medical Center, Corp.. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Kendall Family Medical Center, Corp. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2025670) is associated with this NPI, valid through June 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Kendall Family Medical Center, Corp. accept?

Health plans from Molina Healthcare list Kendall Family 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 Kendall Family Medical Center, Corp. was last updated on March 12, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.