SOUTH MIAMI MEDICAL GROUP LLC
NPI 1659940179
Family Medicine in Miami, FL

Active since June 19, 2021CLIA 10D2164113 · Waiver
7400 SW 50TH TER STE 203, MIAMI, FL 33155(786) 534-8131(786) 534-8191 Get Directions Write a Review

NPPES record last updated: July 16, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 16, 2021, Jun 30, 2021, Jun 23, 2021 and 1 more (4 updates tracked since 2021).

About South Miami Medical Group Llc NPPES

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

SOUTH MIAMI MEDICAL GROUP LLC (NPI 1659940179) is a healthcare organization registered as a family medicine in Miami, Florida and active in the NPI registry since June 2021. The organization holds a CLIA Waiver certificate valid through March 27, 2027 and lists Edgar Gonzalez, Physician, as its authorized official.

NPPES Registry Identity

NPI1659940179
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSOUTH MIAMI MEDICAL GROUP LLC
Location Address7400 SW 50TH TER STE 203Miami, FL 33155-4486
Mailing Address7400 Sw 50th Ter Ste 203Miami, FL 33155-4486 · (786) 534-8131 · Fax (786) 534-8191
Fax(786) 534-8191
Organization SubpartNo
Authorized OfficialEdgar GonzalezPhysician · (786) 718-3739
Enumeration DateJune 19, 2021
Last NPPES UpdateJuly 16, 20214 updates tracked since enumeration
NPPES CertifiedJuly 16, 2021
NPI 1659940179 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.
7400 SW 50TH TER STE 203, Miami, FL 33155

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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

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 10D2164113

South Miami Medical And Research Group Inc · Miami, FL
Active · expires Mar 27, 2027
CLIA Number10D2164113
Laboratory TypeClinical Research
Certificate Effective DateMarch 28, 2025
Certificate Expiration DateMarch 27, 2027
Laboratory DirectorEdgar Gonzalez
Laboratory Phone(786) 718-3739
Laboratory LocationSouth Miami Medical And Research Group Inc7400 SW 50th Terrace Suite 201, Miami, FL 33155
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Home Health
7400 SW 50TH TER STE 203
MIAMI, FL 33155
Family Medicine
7400 SW 50TH TER STE 203
MIAMI, FL 33155
General Practice
7400 SW 50TH TER STE 203
MIAMI, FL 33155

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 South Miami Medical Group LLC's NPI number?

The NPI number for South Miami Medical Group LLC is 1659940179. It was assigned to this organization in the NPPES registry on June 19, 2021.

Where is South Miami Medical Group LLC located?

South Miami Medical Group LLC is located at 7400 SW 50th Ter Ste 203, Miami, FL 33155. The listed phone number is (786) 534-8131.

What is South Miami Medical Group LLC's specialty?

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

Does South Miami Medical Group LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2164113) is associated with this NPI, valid through March 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does South Miami Medical Group LLC accept?

Health plans from Molina Healthcare and Wellpoint list South Miami Medical Group 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 South Miami Medical Group LLC was last updated on July 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.