NPIMap

Organization Active NPI

San Martine de Porras

  • Assisted Living Facility
  • Palmetto Bay, FL
National Provider Identifier
1003129669
Registry record updated Jul 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL10485 Issued in FL
Legal business name
SAN MARTINE DE PORRAS
Practice address
16861 SW 92ND CT
Palmetto Bay, FL 33157-4514
Phone
(305) 305-9882
NPI assigned
Jul 23, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Macario Huaitalla
Title
Owner
Phone
(305) 305-9882

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL10485 FL Primary

Addresses

Primary practice location

16861 SW 92ND CT
Palmetto Bay, FL 33157-4514

Mailing address

16861 SW 92ND CT
Palmetto Bay, FL 33157-4514
Phone (305) 305-9882

National Provider Directory

National Provider Directory
Tax ID family
San Martin de Porras Alf Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1279843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279843200000",
    "number": "1003129669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16861 SW 92ND CT",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331574514",
            "telephone_number": "305-305-9882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16861 SW 92ND CT",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331574514",
            "telephone_number": "305-305-9882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN MARTINE DE PORRAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-23",
        "last_updated": "2010-07-23",
        "status": "A",
        "authorized_official_last_name": "HUAITALLA",
        "authorized_official_first_name": "MACARIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-305-9882"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL10485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmetto Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.