PALM PLAZA MEDICAL CENTER, LLC
NPI 1699015701
Clinic/Center in Hialeah, FL

Active since February 26, 2013CLIA 10D2102905 · Waiver
16795 NW 67TH AVE, HIALEAH, FL 33015(305) 913-7300(305) 362-9776 Get Directions Write a Review

NPPES record last updated: February 26, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Palm Plaza Medical Center, Llc NPPES

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

PALM PLAZA MEDICAL CENTER, LLC (NPI 1699015701) is a healthcare organization registered as a clinic/center in Hialeah, Florida and active in the NPI registry since February 2013. The organization holds a CLIA Waiver certificate valid through September 30, 2027 and lists Paul Pino, Ceo, as its authorized official.

NPPES Registry Identity

NPI1699015701
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NamePALM PLAZA MEDICAL CENTER, LLC
Location Address16795 NW 67TH AVEHialeah, FL 33015-4201
Mailing Address2600 Douglas Rd, Ph 7Coral Gables, FL 33134 · (305) 913-9444 · Fax (305) 913-9445
Fax(305) 362-9776
Organization SubpartNo
Authorized OfficialPaul PinoCeo · (305) 913-9444
Enumeration DateFebruary 26, 2013
✔ NPI 1699015701 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).
16795 NW 67TH AVE, Hialeah, FL 33015

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Palm Plaza Medical Center, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

69

Medicare enrollment records show 69 clinicians reassign Medicare billing to Palm Plaza Medical Center, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 10 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 5

Nurse Practitioner33
General Practice18
Family Practice9
Internal Medicine8
Pediatric Medicine1

Nearest to this location (20)

See all 69
Nurse Practitioner
NPI 1700411188
16795 NW 67TH AVE
Hialeah, FL 33015
(305) 913-7300
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1972125987
16795 NW 67TH AVE
Hialeah, FL 33015
(305) 913-7300
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1164453767
1401 E 4TH AVE STE 104
Hialeah, FL 33010
(305) 888-9000
✔ PECOS✔ Accepts Medicare6.6 mi
Family Practice
NPI 1497078828
6849 TAFT ST
Hollywood, FL 33024
(954) 266-2920
✔ PECOS✔ Accepts Medicare8.6 mi
Nurse Practitioner
NPI 1134791973
6849 TAFT ST
Hollywood, FL 33024
(954) 266-2920
✔ PECOS✔ Accepts Medicare8.6 mi
General Practice
NPI 1336708478
6849 TAFT ST
Hollywood, FL 33024
(954) 266-2920
✔ PECOS✔ Accepts Medicare8.6 mi
Internal Medicine
NPI 1669849741
3700 WASHINGTON ST STE 305
Hollywood, FL 33021
(954) 981-7070
✔ PECOS✔ Accepts Medicare9.6 mi
Nurse Practitioner
NPI 1598223679
1251 NW 36TH ST
Miami, FL 33142
(305) 929-6150
✔ PECOS✔ Accepts Medicare9.8 mi
Nurse Practitioner
NPI 1114569910
1251 NW 36TH ST STE A
Miami, FL 33142
(305) 929-6150
✔ PECOS9.8 mi
Family Practice
NPI 1083143903
1251 NW 36TH ST
Miami, FL 33142
(305) 929-6150
✔ PECOS✔ Accepts Medicare9.8 mi
Nurse Practitioner
NPI 1952853467
4155 SW 130TH AVE
Miami, FL 33175
(305) 455-3500
✔ PECOS✔ Accepts Medicare15 mi
Pediatric Medicine
NPI 1548436470
6971 W SUNRISE BLVD STE 105-106
Plantation, FL 33313
(954) 583-3500
✔ PECOS16 mi
Nurse Practitioner
NPI 1255904744
8300 SUNRISE LAKES BLVD # 55-108
Sunrise, FL 33322
(954) 901-6839
✔ PECOS17 mi
Family Practice
NPI 1982813861
8780 SW 92ND ST STE 200
Miami, FL 33176
(786) 596-7992
✔ PECOS✔ Accepts Medicare17 mi
Family Practice
NPI 1710913116
7351 W OAKLAND PARK BLVD 103
Tamarac, FL 33319
(954) 716-6100
✔ PECOS✔ Accepts Medicare17 mi
Internal Medicine
NPI 1952339855
7351 W OAKLAND PARK BLVD STE 101
Tamarac, FL 33319
(954) 716-6100
✔ PECOS✔ Accepts Medicare17 mi
Nurse Practitioner
NPI 1295133346
12320 QUAIL ROOST DR
Miami, FL 33177
(786) 661-0061
✔ PECOS✔ Accepts Medicare24 mi
Family Practice
NPI 1750959888
7541 N STATE ROAD 7
Parkland, FL 33073
(954) 757-0140
✔ PECOS✔ Accepts Medicare27 mi
Nurse Practitioner
NPI 1568882322
7541 N STATE ROAD 7
Parkland, FL 33073
(954) 757-0140
✔ PECOS✔ Accepts Medicare27 mi
Internal Medicine
NPI 1184680332
249 US HIGHWAY 27 N
Sebring, FL 33870
(863) 593-4333
✔ PECOS✔ Accepts Medicare130 mi
See all 69 clinicians

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 10D2102905

Palm Plaza Medical Center LLC · Miami, FL
Active · expires Sep 30, 2027
CLIA Number10D2102905
Laboratory TypePhysician Office
Certificate Effective DateOctober 1, 2025
Certificate Expiration DateSeptember 30, 2027
Laboratory DirectorAnay Puntonet
Laboratory Phone(305) 341-3872
Laboratory LocationPalm Plaza Medical Center LLC16795 NW 67th Ave, Miami, FL 33015
CLIA data matches this NPI record on: Name
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 Palm Plaza Medical Center, LLC's NPI number?

The NPI number for Palm Plaza Medical Center, LLC is 1699015701. It was assigned to this organization in the NPPES registry on February 26, 2013.

Where is Palm Plaza Medical Center, LLC located?

Palm Plaza Medical Center, LLC is located at 16795 NW 67th Ave, Hialeah, FL 33015. The listed phone number is (305) 913-7300.

What is Palm Plaza Medical Center, LLC's specialty?

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

Is Palm Plaza Medical Center, LLC enrolled in Medicare?

Yes. Palm Plaza Medical Center, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Palm Plaza Medical Center, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 69 clinicians in 5 Medicare specialties reassign their Medicare billing to Palm Plaza 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. The largest specialties are Nurse Practitioner (33), General Practice (18) and Family Practice (9). Of these, 1 practice at this address and 10 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Palm Plaza Medical Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2102905) is associated with this NPI, valid through September 30, 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 Palm Plaza Medical Center, LLC was last updated on February 26, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.