YGONGORANP LLC
NPI 1275392805
Family Medicine in Miami, FL
NPI Status: Active since March 18, 2024
Contact Information
540 NW 165TH ST STE 310
MIAMI, FL
ZIP 33169
Phone: (786) 562-7479
Fax: (305) 564-7610
- Organization
- Family Medicine
- CLIA Number: 10D2313713
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 11-05-2026
About YGONGORANP LLC
This page provides the complete NPI Profile along with additional information for Ygongoranp Llc, a primary care provider established in Miami, Florida operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1275392805 assigned on March 2024. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated August 2025. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's
- NPI
- 1275392805
- Provider Legal Name
- YGONGORANP LLC
- Other Organization Name
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 540 NW 165TH ST STE 310 MIAMI, FL 33169
- Location Phone
- (786) 562-7479
- Location Fax
- (305) 564-7610
- Mailing Address
- 540 NW 165TH ST STE 310 MIAMI, FL 33169
- Mailing Phone
- (786) 562-7479
- Mailing Fax
- (305) 564-7610
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-18-2024
- Last Update Date
- 08-13-2025
- Code Navigator
A primary care provider (PCP) like Ygongoranp Llc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Family Medicine
- Taxonomy Code
- 207Q00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 10D2313713
- Facility Type
- Physician Office
- Certificate Effective Date
- November 06, 2024
- Certificate Expiration Date
- November 05, 2026
- Laboratory Director
- YOVANY GONGORA
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Ygongoranp Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 7 | 5 | 3 | 9 | 2 | 8 | 0 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 14 | 5 | 6 | 9 | 4 | 8 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 4 + 5 + 6 + 9 + 4 + 8 + 0 + 24 = 65 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 65 = 5 | 5 | ||||||||
The NPI number 1275392805 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 3 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1821496613 | SAFE HAVEN RECOVERY INC Organization | Substance Abuse Rehabilitation Facility | 540 NW 165TH ST STE 310 MIAMI, FL 33169 (305) 956-7823 |
| 1134585433 | SAFE HAVEN RECOVERY INC Organization | Clinic/Center (Recovery Care) | 540 NW 165TH ST STE 310 MIAMI, FL 33169 (305) 956-7823 |
| 1962140434 | YOVANY GONGORA MSN, APRN, FNP-C Individual | Nurse Practitioner | 540 NW 165TH ST STE 310 MIAMI, FL 33169 (786) 562-7479 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1275392805, enumerated in the NPI registry as an "organization" on March 18, 2024
The provider is located at 540 Nw 165th St Ste 310 Miami, Fl 33169 and the phone number is (786) 562-7479
This medical organization specializes in Family Medicine with taxonomy code 207Q00000X
The provider's CLIA number is 10D2313713 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on March 18, 2024. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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