Healthcare Provider Details

I. General information

NPI: 1023955036
Provider Name (Legal Business Name): BLEU MEDICAL CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/29/2026
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7971 SW 40TH ST STE 22-23
MIAMI FL
33155-6749
US

IV. Provider business mailing address

7971 SW 40TH ST STE 22-23
MIAMI FL
33155-6749
US

V. Phone/Fax

Practice location:
  • Phone: 786-655-6566
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QS1200X
TaxonomySleep Disorder Diagnostic Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: YAMISLEIDY SILVA
Title or Position: OWNER
Credential:
Phone: 786-597-1834