BLUE DIAMOND MEDICAL CENTER CORP. NPI 1245967587

NPI Information

NPI: 1245967587
Provider Name: BLUE DIAMOND MEDICAL CENTER CORP.
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
16430 NW 59TH AVE
MIAMI LAKES, FL
ZIP 33014
Phone: (305) 456-0148
Get Directions

BLUE DIAMOND MEDICAL CENTER CORP. is a family nurse practitioner in Miami Lakes, FL. BLUE DIAMOND MEDICAL CENTER CORP. NPI is 1245967587. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

16430 NW 59TH AVE
MIAMI LAKES, FL
ZIP 33014-605
Phone: (305) 456-0148

The provider's authorized official is Marcos Jose Carvajal .
The authorized official title is Aprn-fnp and has the following contact phone number (305) 456-0148.

The enumeration date for this NPI number is 8/5/2022 and was last updated on 4/15/2023.

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	Primary
1	207Q00000X	Family Medicine		No
2	2084P0800X	Psychiatry & Neurology	Psychiatry	No
3	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	No
4	363LF0000X	Nurse Practitioner	Family	Yes

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: 5/5/2024

NPI Synchronization or Removal

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