CAREMAX MEDICAL CENTER OF PEMBROKE PINES, LLC
NPI 1346901816
Clinic/Center in Pembroke Pines, FL

NPI Status: Active since January 06, 2022

Contact Information

650 NW 180TH TER STE 102
PEMBROKE PINES, FL
ZIP 33029
Phone: (954) 436-1212
Fax: (954) 435-5444

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  • Organization
  • Clinic/Center
  • CLIA Number: 10D2260506
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 05-18-2026

About CAREMAX MEDICAL CENTER OF PEMBROKE PINES, LLC

This page provides the complete NPI Profile along with additional information for Caremax Medical Center Of Pembroke Pines, Llc, a provider established in Pembroke Pines, Florida operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1346901816 assigned on January 2022. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Carlos De Solo (Chief Executive Officer)

NPI
1346901816
Provider Name
CAREMAX MEDICAL CENTER OF PEMBROKE PINES, LLC
Entity Type
Organization
Location Address
650 NW 180TH TER STE 102 PEMBROKE PINES, FL 33029
Location Phone
(954) 436-1212
Location Fax
(954) 435-5444
Mailing Address
1000 NW 57TH CT STE 400 MIAMI, FL 33126
Mailing Phone
(305) 649-8100
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
01-06-2022
Last Update Date
08-19-2024
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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

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CARLOS DE SOLO

Authorized Official Title
CHIEF EXECUTIVE OFFICER
Authorized Official Phone
(305) 649-8100

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
10D2260506
Facility Type
Physician Office
Certificate Effective Date
May 19, 2024
Certificate Expiration Date
May 18, 2026
Laboratory Director
CRISTINA AGOSTINELLI
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Caremax Medical Center Of Pembroke Pines, 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.
1346901816
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2386180282
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 8 + 6 + 1 + 8 + 0 + 2 + 8 + 2 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1346901816 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1295968048DR. ERNESTO PADRON M.D
Individual
Family Medicine650 NW 180TH TER STE 102
PEMBROKE PINES, FL 33029
(954) 436-1212

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1346901816, enumerated in the NPI registry as an "organization" on January 06, 2022

The provider is located at 650 Nw 180th Ter Ste 102 Pembroke Pines, Fl 33029 and the phone number is (954) 436-1212

This medical organization specializes in Clinic/Center with taxonomy code 261Q00000X

The provider's CLIA number is 10D2260506 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 January 06, 2022. 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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