EQUILIBRIUM MD CORP
NPI 1396599577
Family Medicine in Miami, FL

Active since April 15, 2024
11440 N KENDALL DR STE 110, MIAMI, FL 33176(786) 334-2494(786) 221-2883 Get Directions Write a Review

NPPES record last updated: August 3, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 3, 2026, Apr 15, 2024 (2 updates tracked since 2024).

About Equilibrium Md Corp NPPES

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

EQUILIBRIUM MD CORP (NPI 1396599577) is a healthcare organization registered as a family medicine in Miami, Florida and active in the NPI registry since April 2024. The organization lists Rusdany Collado Fuentes, Owner, as its authorized official.

NPPES Registry Identity

NPI1396599577
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameEQUILIBRIUM MD CORP
Location Address11440 N KENDALL DR STE 110Miami, FL 33176-1024
Mailing Address13783 Sw 66th St Apt A219Miami, FL 33183-4516
Fax(786) 221-2883
Organization SubpartNo
Authorized OfficialRusdany Collado FuentesOwner · (305) 502-3553
Enumeration DateApril 15, 2024
Last NPPES UpdateAugust 3, 20262 updates tracked since enumeration
NPPES CertifiedAugust 3, 2026
✔ NPI 1396599577 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.
11440 N KENDALL DR STE 110, Miami, FL 33176

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Equilibrium Md Corp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Equilibrium MD Corp, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Neurology
NPI 1164050001
10621 N KENDALL DR STE 200
Miami, FL 33176
(786) 334-2494
✔ PECOS✔ Accepts Medicare1.2 mi
Nurse Practitioner
NPI 1215664602
8305 SW 152ND AVE APT A-408
Miami, FL 33193
(863) 660-8418
✔ PECOS✔ Accepts Medicare3.7 mi
Nurse Practitioner
NPI 1982305157
8260 W FLAGLER ST STE 2I
Miami, FL 33144
(786) 715-9183
✔ PECOS✔ Accepts Medicare6.5 mi
Clinical Psychologist
NPI 1801337670
8875 NW 23RD ST
Doral, FL 33172
(305) 653-5155
✔ PECOS✔ Accepts Medicare7.9 mi
Neurology
NPI 1396368585
2720 LOW CT
Fairfield, CA 94534
(707) 427-4900
✔ PECOS✔ Accepts Medicare2,573 mi

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

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 Equilibrium MD Corp's NPI number?

The NPI number for Equilibrium MD Corp is 1396599577. It was assigned to this organization in the NPPES registry on April 15, 2024.

Where is Equilibrium MD Corp located?

Equilibrium MD Corp is located at 11440 N Kendall Dr Ste 110, Miami, FL 33176. The listed phone number is (786) 334-2494.

What is Equilibrium MD Corp's specialty?

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

Is Equilibrium MD Corp enrolled in Medicare?

Yes. Equilibrium MD Corp is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Equilibrium MD Corp?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians reassign their Medicare billing to Equilibrium MD Corp, in Clinical Psychologist, Neurology 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, 4 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Equilibrium MD Corp was last updated on August 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.