Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Blue Diamond Medical Center Corp

Organization Family Medicine Physician · NPI 1245967587

Blue Diamond Medical Center Corp is a Family Medicine Physician in Miami Lakes, Florida. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
4
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

16430 NW 59th Ave
Miami Lakes, FL 33014-5605
Phone: (305) 456-0148
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X
Family Medicine Physician Taxonomy 207Q00000X
Psychiatry Physician Taxonomy 2084P0800X
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X

Record details

NPI number1245967587
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marcos Carvajal — Aprn-Fnp · (305) 456-0148
NPI enumeratedAugust 5, 2022
Last updated in NPPESApril 15, 2023
Certification dateApril 15, 2023
Mailing address16430 Nw 59th Ave Ste 202, Miami Lakes, FL 33014-5605

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