Miami Lakes Medical Center, LLC
NPI 1740687821 · Medical Physician Assistant · Miami Lakes, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Miami Lakes Medical Center, LLC is a Medical Physician Assistant organization in Miami Lakes, FL (NPI 1740687821).
Provider details
- NPI number
- 1740687821
- Entity type
- Organization
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Eduardo Elizalde, MD(305) 621-8051
- License
- PA9106732 (FL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
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
Mailing address
Registry dates
- Enumerated
- 2014-12-04
- Last updated
- 2025-06-03
- Certified
- 2024-08-27
Frequently asked questions
- What is Miami Lakes Medical Center, LLC's NPI number?
- Miami Lakes Medical Center, LLC's National Provider Identifier (NPI) is 1740687821, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Miami Lakes Medical Center, LLC?
- Miami Lakes Medical Center, LLC is classified in the NPPES registry as Medical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Miami Lakes Medical Center, LLC located?
- Miami Lakes Medical Center, LLC's practice location on file with NPPES is 15536 Nw 77th Ct, Miami Lakes, FL 33016-5804.
- What is Miami Lakes Medical Center, LLC's phone number?
- The practice phone number listed in the NPPES registry for Miami Lakes Medical Center, LLC is (305) 621-8051.
- Does Miami Lakes Medical Center, LLC accept Medicare?
- Miami Lakes Medical Center, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Miami Lakes Medical Center, LLC?
- The authorized official listed on Miami Lakes Medical Center, LLC's NPPES record is Eduardo Elizalde, MD. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Miami Lakes Medical Center, LLC's NPI active?
- Yes — Miami Lakes Medical Center, LLC's NPI (1740687821) is active in the NPPES registry as of the last update on 2025-06-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.