OrganizationActive
Illumina Medical Group Management, LLC
NPI 1104335314 · Clinic/Center · Doral, FL
Illumina Medical Group Management, LLC is a Clinic/Center organization in Doral, FL (NPI 1104335314).
Provider details
- NPI number
- 1104335314
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Angel Mongeotti, Executive Director of Finance(305) 254-8900
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1914 Nw 84th Ave
Doral, FL 33126-1030
Phone: (305) 254-8900
Fax: (305) 254-8902
Street-level locationGet directions
Mailing address
1914 Nw 84th Ave
Doral, FL 33126-1030
Registry dates
- Enumerated
- 2017-09-20
- Last updated
- 2022-07-21
Frequently asked questions
- What is Illumina Medical Group Management, LLC's NPI number?
- Illumina Medical Group Management, LLC's National Provider Identifier (NPI) is 1104335314, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Illumina Medical Group Management, LLC?
- Illumina Medical Group Management, LLC is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Illumina Medical Group Management, LLC located?
- Illumina Medical Group Management, LLC's practice location on file with NPPES is 1914 Nw 84th Ave, Doral, FL 33126-1030.
- What is Illumina Medical Group Management, LLC's phone number?
- The practice phone number listed in the NPPES registry for Illumina Medical Group Management, LLC is (305) 254-8900.
- Who is the authorized official for Illumina Medical Group Management, LLC?
- The authorized official listed on Illumina Medical Group Management, LLC's NPPES record is Angel Mongeotti, Executive Director of Finance. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Illumina Medical Group Management, LLC's NPI active?
- Yes — Illumina Medical Group Management, LLC's NPI (1104335314) is active in the NPPES registry as of the last update on 2022-07-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.