OrganizationActive
Coffeestone Holdings
NPI 1992273510 · Pediatrics Physician · Miami Lakes, FL
Provider details
- NPI number
- 1992273510
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Martel Samuels, President(361) 673-3111
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(67/100 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
14505 Commerce Way Ste 800
Miami Lakes, FL 33016-1599
Phone: (305) 821-8861
Fax: (305) 821-8783
Street-level locationGet directions
Mailing address
14505 Commerce Way Ste 800
Miami Lakes, FL 33016-1599
Registry dates
- Enumerated
- 2018-11-13
- Last updated
- 2018-11-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.