Premium Provider Services LLC
NPI 1669165007 · Community/Behavioral Health Agency · Miami Gardens, FL
Premium Provider Services LLC is a Community/Behavioral Health Agency organization in Miami Gardens, FL (NPI 1669165007).
Provider details
- NPI number
- 1669165007
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Eliselly Rodriguez, Ambr(786) 312-3834
Specialties & taxonomies
Agencies
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
Mailing address
Registry dates
- Enumerated
- 2023-05-31
- Last updated
- 2023-05-31
- Certified
- 2023-05-31
Frequently asked questions
- What is Premium Provider Services LLC's NPI number?
- Premium Provider Services LLC's National Provider Identifier (NPI) is 1669165007, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Premium Provider Services LLC?
- Premium Provider Services LLC is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Premium Provider Services LLC located?
- Premium Provider Services LLC's practice location on file with NPPES is 19035 Nw 43rd Ct, Miami Gardens, FL 33055-2644.
- What is Premium Provider Services LLC's phone number?
- The practice phone number listed in the NPPES registry for Premium Provider Services LLC is (786) 312-3834.
- Who is the authorized official for Premium Provider Services LLC?
- The authorized official listed on Premium Provider Services LLC's NPPES record is Eliselly Rodriguez, Ambr. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Premium Provider Services LLC's NPI active?
- Yes — Premium Provider Services LLC's NPI (1669165007) is active in the NPPES registry as of the last update on 2023-05-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.