Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
261QR0401X | B4[14] | Comprehensive Outpatient Rehabilitation Facility | |
Adult Day Care |
261QA0600X | |||
Case Manager/Care Coordinator |
171M00000X | |||
Clinical Medical Laboratory |
291U00000X | 69 | Clinical Laboratory | |
Durable Medical Equipment & Medical Supplies |
332B00000X | 54 | Other Medical Supply Company | |
Infusion Therapy |
261QI0500X | |||
Multi-Specialty |
261QM1300X | 70 | Clinic or Group Practice | |
Occupational Medicine |
2083X0100X | 84 | Physician/Preventive Medicine | |
Pain Medicine |
208VP0000X | 72 | Physician/Pain Management | |
Physical Medicine & Rehabilitation |
208100000X | 25 | Physician/Physical Medicine and Rehabilitation | |
Portable Xray Supplier |
335V00000X | 63 | Portable X-Ray Supplier |
| NPI # | 1568308997 |
| LBN Legal business name | MIAMI LAKES DOCTOR'S LLC |
| Authorized official | YUSNIEL ROMERO TORRES - (CEO / PRESIDENT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 04/27/2026 |
| Last updated | 04/27/2026 - About 1 months ago |
| Identifiers | n/a |
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