OrganizationActive
Miami Lakes Medical Center Associates PA
NPI 1174518096 · Family Medicine Physician · Hialeah, FL
Provider details
- NPI number
- 1174518096
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Richard Koby, Vice President(305) 821-6600
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
7150 W 20th Ave
Suite 315
Hialeah, FL 33016-5529
Phone: (305) 821-6600
Fax: (305) 821-0773
Street-level locationGet directions
Mailing address
7150 W 20th Ave
Hialeah, FL 33016-5529
Other names (DBA / former)
- Doing business as
- Pembroke Lakes Medical Center
Registry dates
- Enumerated
- 2005-09-16
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.