# NINOJESUS MEDICAL CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538952973
- **Authorized official:** CARLOS DIAZ VALLADARES APRN (OWNER)
- **Authorized official phone:** (305) 456-4096

## Contact information

- **Practice address:** 7600 W 20TH AVE STE 101, HIALEAH, FL 33016-1895
- **Practice address phone:** (305) 456-4096
- **Practice address fax:** (786) 828-7995
- **Mailing address:** 16400 SW 173RD AVE, MIAMI, FL 33187-1251
- **Mailing address phone:** (305) 456-4096
- **Mailing address fax:** (786) 828-7995

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 05/28/2025
- **Last updated:** 01/29/2026