OrganizationActive
Illumina Medical Group Jv, LLC
NPI 1699260950 · Family Medicine Physician · Doral, FL
Provider details
- NPI number
- 1699260950
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Angel Mongeotti, Executive Director of Finance(305) 254-8900
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
Phone: (305) 254-8900
Street-level locationGet directions
Mailing address
1914 Nw 84th Ave
Doral, FL 33126-1030
Registry dates
- Enumerated
- 2018-06-28
- Last updated
- 2018-07-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.