HUMANITARY MEDICAL CENTER KISSIMMEE, INC
NPI 1821973587
Clinic/Center - Primary Care in Kissimmee, FL

Q: What is Humanitary Medical Center Kissimmee, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Active since August 11, 2025CLIA 10D2331298 · Waiver

1507 N JOHN YOUNG PKWY, KISSIMMEE, FL 34741(407) 288-8850(407) 214-1333 Get Directions Write a Review

NPPES record last updated: August 11, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Humanitary Medical Center Kissimmee, Inc NPPES

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

HUMANITARY MEDICAL CENTER KISSIMMEE, INC (NPI 1821973587) is a healthcare organization registered as a primary care in Kissimmee, Florida and active in the NPI registry since August 2025. The organization holds a CLIA Waiver certificate valid through September 29, 2027 and lists Eliecer Gonzalez, President, as its authorized official.

NPPES Registry Identity

NPI1821973587

Entity TypeOrganization

Primary Taxonomy261QP2300X

Legal Business NameHUMANITARY MEDICAL CENTER KISSIMMEE, INC

Location Address1507 N JOHN YOUNG PKWYKissimmee, FL 34741-3214

Mailing Address3109 W Dr Martin Luther King Jr Blvd Ste 121Tampa, FL 33607-6240 · (813) 708-1313 · Fax (813) 945-3771

Phone(407) 288-8850

Fax(407) 214-1333

Organization SubpartNo

Authorized OfficialEliecer GonzalezPresident · (813) 468-1866

Enumeration DateAugust 11, 2025

NPPES CertifiedAugust 11, 2025

✔ NPI 1821973587 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities

Taxonomy Code261QP2300X

1507 N JOHN YOUNG PKWY, Kissimmee, FL 34741

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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)

Humanitary Medical Center Kissimmee, Inc 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 Humanitary Medical Center Kissimmee, Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Yordanys Yera Valle, MD

General Practice

NPI 1083073571

1303 S SEMORAN BLVD
Orlando, FL 32807

(407) 966-1799

✔ PECOS17 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 10D2331298

Humanitary Medical Center Kissimmee, Inc · Kissimmee, FL

Active · expires Sep 29, 2027

CLIA Number10D2331298

Laboratory TypePhysician Office

Certificate Effective DateSeptember 30, 2025

Certificate Expiration DateSeptember 29, 2027

Laboratory DirectorDr. Pablo Lam

Laboratory Phone(407) 288-8850

Laboratory LocationHumanitary Medical Center Kissimmee, Inc1507 N John Young Pkwy, Kissimmee, FL 34741

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 Humanitary Medical Center Kissimmee, Inc's NPI number?

The NPI number for Humanitary Medical Center Kissimmee, Inc is 1821973587. It was assigned to this organization in the NPPES registry on August 11, 2025.

Where is Humanitary Medical Center Kissimmee, Inc located?

Humanitary Medical Center Kissimmee, Inc is located at 1507 N John Young Pkwy, Kissimmee, FL 34741. The listed phone number is (407) 288-8850.

What is Humanitary Medical Center Kissimmee, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Humanitary Medical Center Kissimmee, Inc enrolled in Medicare?

Yes. Humanitary Medical Center Kissimmee, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Humanitary Medical Center Kissimmee, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Practice) reassigns their Medicare billing to Humanitary Medical Center Kissimmee, Inc. 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 Humanitary Medical Center Kissimmee, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2331298) is associated with this NPI, valid through September 29, 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 Humanitary Medical Center Kissimmee, Inc was last updated on August 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.