LAKES MEDICAL & WELLNESS LLC NPI 1174428197

NPI Information

  • NPI: 1174428197
  • Provider Name: LAKES MEDICAL & WELLNESS LLC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • :
  • Address: 13225 SW 58TH TER UNIT 17-8
    MIAMI, FL
    ZIP 33183
  • Phone: (305) 203-9949

Map and Directions

Get Directions

NPI Details

LAKES MEDICAL & WELLNESS LLC is a family nurse practitioner in Miami, FL. LAKES MEDICAL & WELLNESS LLC NPI is 1174428197. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

13225 SW 58TH TER UNIT 17-8
MIAMI, FL
ZIP 33183-259
Phone: (305) 203-9949

The provider's authorized official is Jose Luis Cardentey Hernandez .
The authorized official title is Aprn and has the following contact phone number (305) 203-9949.

The enumeration date for this NPI number is 10/9/2026 and was last updated on 10/9/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.