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LATINO MEDICAL CENTER III, INC
NPI 1477047058
General Practice in Lauderdale Lakes, FL

Active since June 18, 2018CLIA 10D2036365 · Waiver
3670 W OAKLAND BLVD, LAUDERDALE LAKES, FL 33311(954) 716-6101(954) 533-4634 Get Directions Write a Review

NPPES record last updated: March 6, 2023. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Mar 6, 2023, Aug 17, 2018, Jun 18, 2018 (3 updates tracked since 2018).

About Latino Medical Center Iii, Inc NPPES

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

LATINO MEDICAL CENTER III, INC (NPI 1477047058) is a healthcare organization registered as a general practice in Lauderdale Lakes, Florida and active in the NPI registry since June 2018. The organization holds a CLIA Waiver certificate valid through February 6, 2028 and lists Rodney Joseph, President, as its authorized official.

NPPES Registry Identity

NPI1477047058
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameLATINO MEDICAL CENTER III, INC
Location Address3670 W OAKLAND BLVDLauderdale Lakes, FL 33311
Mailing Address3670 W Oakland BlvdLauderdale Lakes, FL 33311
Phone(954) 716-6101
Fax(954) 533-4634
Organization SubpartNo
Authorized OfficialRodney JosephPresident · (305) 947-4499
Enumeration DateJune 18, 2018
Last NPPES UpdateMarch 6, 20233 updates tracked since enumeration
NPPES CertifiedMarch 6, 2023
✔ NPI 1477047058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
3670 W OAKLAND BLVD, Lauderdale Lakes, FL 33311
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Other Names 1

Doing Business AsLatino Medical Center Iii, Inc

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

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 10D2036365

Latino Medical Center Inc · Miami Gardens, FL
Active · expires Feb 6, 2028
CLIA Number10D2036365
Laboratory TypePhysician Office
Certificate Effective DateFebruary 7, 2026
Certificate Expiration DateFebruary 6, 2028
Laboratory DirectorAriel Portilla
Laboratory Phone(305) 947-4499
Laboratory LocationLatino Medical Center Inc21301 NW 2nd Ave, Miami Gardens, FL 33169
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 Latino Medical Center III, Inc's NPI number?

The NPI number for Latino Medical Center III, Inc is 1477047058. It was assigned to this organization in the NPPES registry on June 18, 2018.

Where is Latino Medical Center III, Inc located?

Latino Medical Center III, Inc is located at 3670 W Oakland Blvd, Lauderdale Lakes, FL 33311. The listed phone number is (954) 716-6101.

What is Latino Medical Center III, Inc's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Does Latino Medical Center III, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2036365) is associated with this NPI, valid through February 6, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Latino Medical Center III, Inc was last updated on March 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.