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KIDNEYSPA AT BIRD ROAD, LLC
NPI 1770205759
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Miami, FL

Active since September 15, 2022CLIA 10D2270681 · Waiver
3/5
Overall Rating
11501 SW 40TH ST STE 101, MIAMI, FL 33165(305) 329-2900 Get Directions Write a Review

NPPES record last updated: October 27, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 27, 2023, Nov 7, 2022, Sep 15, 2022 (3 updates tracked since 2022).

About Kidneyspa At Bird Road, Llc NPPES

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

KIDNEYSPA AT BIRD ROAD, LLC (NPI 1770205759) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Miami, Florida and active in the NPI registry since September 2022. The organization holds a CLIA Waiver certificate valid through October 18, 2026 and lists Juan Mauricio Cuellar, Ceo, as its authorized official.

NPPES Registry Identity

NPI1770205759
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameKIDNEYSPA AT BIRD ROAD, LLC
Location Address11501 SW 40TH ST STE 101Miami, FL 33165-3313
Mailing Address219 Nw 12th Ave Apt 508Miami, FL 33128-2206 · (305) 329-2900 · Fax (305) 329-2901
Phone(305) 329-2900
Organization SubpartNo
Authorized OfficialJuan Mauricio CuellarCeo · (305) 329-2900
Enumeration DateSeptember 15, 2022
Last NPPES UpdateOctober 27, 20233 updates tracked since enumeration
NPPES CertifiedOctober 27, 2023
✔ NPI 1770205759 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · End-Stage Renal Disease (ESRD) TreatmentAmbulatory Health Care Facilities
Taxonomy Code261QE0700X
11501 SW 40TH ST STE 101, Miami, FL 33165
Open in Google Maps ↗

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 10D2270681

Kidneyspa At Bird Road, LLC · Miami, FL
Active · expires Oct 18, 2026
CLIA Number10D2270681
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateOctober 19, 2024
Certificate Expiration DateOctober 18, 2026
Laboratory DirectorJuan Mauricio Cuellar
Laboratory Phone(305) 329-2900
Laboratory LocationKidneyspa At Bird Road, LLC11501 SW 40th St, Ste 101, Miami, FL 33165
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Dialysis Facility Quality Ratings CMS Care Compare

Quality ratings, services and patient survey results for KidneySPA at Leon Medical Center (CMS certification number 682757), from CMS Care Compare.

KidneySPA at Leon Medical Center

Dialysis facility · Miami, FL
3/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
CMS Certification Number682757
ESRD NetworkNetwork 7
Hemodialysis Stations11
Medicare-Certified SinceDecember 28, 2022
Location11501 SW 40th St Suite 101Miami, FL 33165 · Miami-Dade County
Phone(305) 428-5720
Services Offered
In-center hemodialysis

Other Providers at the Same Location NPPES

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

MULTI-SPECIALTY PHYSICIANS GROUP, LLC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
11501 SW 40TH ST STE 101
MIAMI, FL 33165
Miami-Dade County (305) 631-7447

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 Kidneyspa At Bird Road, LLC's NPI number?

The NPI number for Kidneyspa At Bird Road, LLC is 1770205759. It was assigned to this organization in the NPPES registry on September 15, 2022.

Where is Kidneyspa At Bird Road, LLC located?

Kidneyspa At Bird Road, LLC is located at 11501 SW 40th St Ste 101, Miami, FL 33165. The listed phone number is (305) 329-2900.

What is Kidneyspa At Bird Road, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

Does Kidneyspa At Bird Road, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2270681) is associated with this NPI, valid through October 18, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Kidneyspa At Bird Road, LLC a Medicare-certified dialysis facility?

Yes. KidneySPA at Leon Medical Center is a Medicare-certified dialysis facility, certified since December 28, 2022.

What quality rating does Kidneyspa At Bird Road, LLC have?

CMS rates KidneySPA at Leon Medical Center 3 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

When was this NPI record last updated?

The NPPES record for Kidneyspa At Bird Road, LLC was last updated on October 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.