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MIAMI LAKES DOCTOR'S LLC
NPI 1619588324
Internal Medicine in Miami Lakes, FL

Active since August 14, 2020CLIA 10D2232353 · Waiver
5779 NW 151ST ST, MIAMI LAKES, FL 33014(786) 353-2058(786) 353-2087 Get Directions Write a Review

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

Record update history: Apr 3, 2026, Jul 20, 2021, Jan 11, 2021 and 1 more (4 updates tracked since 2020).

About Miami Lakes Doctor's Llc NPPES

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

MIAMI LAKES DOCTOR'S LLC (NPI 1619588324) is a healthcare organization registered as an internal medicine in Miami Lakes, Florida and active in the NPI registry since August 2020. The organization holds a CLIA Waiver certificate valid through August 11, 2027, maintains a secondary practice location in Miami Lakes, and lists Yusniel Romero Torres, President, as its authorized official.

NPPES Registry Identity

NPI1619588324
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameMIAMI LAKES DOCTOR'S LLC
Location Address5779 NW 151ST STMiami Lakes, FL 33014-2483
Mailing Address5757 Nw 151st StMiami Lakes, FL 33014-2482 · (786) 353-2058 · Fax (786) 353-2087
Phone(786) 353-2058
Fax(786) 353-2087
Organization SubpartNo
Authorized OfficialYusniel Romero TorresPresident · (786) 299-6333
Enumeration DateAugust 14, 2020
Last NPPES UpdateApril 3, 20264 updates tracked since enumeration
NPPES CertifiedApril 3, 2026
✔ NPI 1619588324 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
5779 NW 151ST ST, Miami Lakes, FL 33014
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Other Names 1

Former Legal Business NameMiami Lakes Doctor's Llc

Secondary Practice Location 1

Location 15757 NW 151st StMiami Lakes, FL 33014-2482 · Phone (786) 353-2058 · Fax (786) 353-2087

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)

Miami Lakes Doctor's Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Miami Lakes Doctor's LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Damaris Valdes, ARNP
Nurse Practitioner
NPI 1700282399
8181 NW S RIVER DR D 410
Medley, FL 33166
(305) 825-6101
✔ PECOS4.6 mi
Guillermo Fonseca, M.D.
General Practice
NPI 1972700714
11880 SW 40TH ST SUITE 318
Miami, FL 33175
(305) 223-3989
✔ PECOS✔ Accepts Medicare14 mi
Thomas Lange, MPT
Physical Therapist in Private Practice
NPI 1952731762
9570 SW 107TH AVE SUITE 201C
Miami, FL 33176
(954) 980-8364
✔ Accepts Medicare17 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 10D2232353

Miami Lakes Doctor's LLC · Miami Lakes, FL
Active · expires Aug 11, 2027
CLIA Number10D2232353
Laboratory TypePhysician Office
Certificate Effective DateAugust 12, 2025
Certificate Expiration DateAugust 11, 2027
Laboratory DirectorGuillermo Fonseca
Laboratory Phone(786) 353-2058
Laboratory LocationMiami Lakes Doctor's LLC5757 NW 151 St, Miami Lakes, FL 33014
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 Miami Lakes Doctor's LLC's NPI number?

The NPI number for Miami Lakes Doctor's LLC is 1619588324. It was assigned to this organization in the NPPES registry on August 14, 2020.

Where is Miami Lakes Doctor's LLC located?

Miami Lakes Doctor's LLC is located at 5779 NW 151st St, Miami Lakes, FL 33014. The listed phone number is (786) 353-2058.

What is Miami Lakes Doctor's LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Miami Lakes Doctor's LLC enrolled in Medicare?

Yes. Miami Lakes Doctor's LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Miami Lakes Doctor's LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Miami Lakes Doctor's LLC, in General Practice, Nurse Practitioner and Physical Therapist in Private Practice. 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 Miami Lakes Doctor's LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2232353) is associated with this NPI, valid through August 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Miami Lakes Doctor's LLC accept?

Health plans from Molina Healthcare list Miami Lakes Doctor's LLC 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 Miami Lakes Doctor's LLC was last updated on April 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.