OrganizationActive
Med-Source Group LLC.
NPI 1114304144 · Point of Service · Miami Lakes, FL
Med-Source Group LLC. is a Point of Service organization in Miami Lakes, FL (NPI 1114304144).
Provider details
- NPI number
- 1114304144
- Entity type
- Organization
- Primary specialty
- Point of ServiceManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Otto Valdes, Ceo(786) 443-0873
Specialties & taxonomies
Managed Care Organizations
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
15476 Nw 77th Ct
Miami Lakes, FL 33016-5823
Phone: (786) 443-0873
Street-level locationGet directions
Mailing address
15476 Nw 77th Ct
Miami Lakes, FL 33016-5823
Registry dates
- Enumerated
- 2015-04-28
- Last updated
- 2015-04-28
Frequently asked questions
- What is Med-Source Group LLC.'s NPI number?
- Med-Source Group LLC.'s National Provider Identifier (NPI) is 1114304144, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Med-Source Group LLC.?
- Med-Source Group LLC. is classified in the NPPES registry as Point of Service (Managed Care Organizations).
- Where is Med-Source Group LLC. located?
- Med-Source Group LLC.'s practice location on file with NPPES is 15476 Nw 77th Ct, Miami Lakes, FL 33016-5823.
- What is Med-Source Group LLC.'s phone number?
- The practice phone number listed in the NPPES registry for Med-Source Group LLC. is (786) 443-0873.
- Who is the authorized official for Med-Source Group LLC.?
- The authorized official listed on Med-Source Group LLC.'s NPPES record is Otto Valdes, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Med-Source Group LLC.'s NPI active?
- Yes — Med-Source Group LLC.'s NPI (1114304144) is active in the NPPES registry as of the last update on 2015-04-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.