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ISA MEDICAL CENTER LLC
NPI 1568279255
Clinic/Center in Davenport, FL

Active since December 16, 2024CLIA 10D2317598 · Waiver
9350 W US-192 HWY, DAVENPORT, FL 33897(786) 280-6011 Get Directions Write a Review

NPPES record last updated: May 21, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 21, 2025, Dec 16, 2024 (2 updates tracked since 2024).

About Isa Medical Center Llc NPPES

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

ISA MEDICAL CENTER LLC (NPI 1568279255) is a healthcare organization registered as a clinic/center in Davenport, Florida and active in the NPI registry since December 2024. The organization holds a CLIA Waiver certificate valid through January 27, 2027 and lists Isabel Cristina Anez Diaz, Manager Member, as its authorized official.

NPPES Registry Identity

NPI1568279255
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameISA MEDICAL CENTER LLC
Location Address9350 W US-192 HWYDavenport, FL 33897
Mailing Address9350 W Us-192 HwyDavenport, FL 33897
Phone(786) 280-6011
Organization SubpartNo
Authorized OfficialIsabel Cristina Anez DiazManager Member · (407) 209-5451
Enumeration DateDecember 16, 2024
Last NPPES UpdateMay 21, 20252 updates tracked since enumeration
NPPES CertifiedMay 21, 2025
✔ NPI 1568279255 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).
9350 W US-192 HWY, Davenport, FL 33897
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Isa Medical Center Llc 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 Isa Medical Center LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Hector Gallego, MD
Internal Medicine
NPI 1568720779
525 TECHNOLOGY PARK STE 109
Lake Mary, FL 32746
(407) 647-2346
✔ PECOS✔ Accepts Medicare33 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 10D2317598

Isa Medical Center LLC · Davenport, FL
Active · expires Jan 27, 2027
CLIA Number10D2317598
Laboratory TypePhysician Office
Certificate Effective DateJanuary 28, 2025
Certificate Expiration DateJanuary 27, 2027
Laboratory DirectorMinely B. Martinez Velazquez
Laboratory Phone(407) 209-5451
Laboratory LocationIsa Medical Center LLC9350 W Us 192 Hwy, Davenport, FL 33897
CLIA data matches this NPI record on: Address 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 Isa Medical Center LLC's NPI number?

The NPI number for Isa Medical Center LLC is 1568279255. It was assigned to this organization in the NPPES registry on December 16, 2024.

Where is Isa Medical Center LLC located?

Isa Medical Center LLC is located at 9350 W Us-192 Hwy, Davenport, FL 33897. The listed phone number is (786) 280-6011.

What is Isa Medical Center LLC's specialty?

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

Is Isa Medical Center LLC enrolled in Medicare?

Yes. Isa Medical Center LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Isa Medical Center LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Isa Medical Center LLC. 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 Isa Medical Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2317598) is associated with this NPI, valid through January 27, 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 Isa Medical Center LLC was last updated on May 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.