Organization Active NPI

Jesus Es Mi Roca, Inc,

  • Adult Day Care Clinic/Center
  • Cutler Bay, FL
National Provider Identifier
1023582541
Registry record updated Jan 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
JESUS ES MI ROCA, INC,
Practice address
10900 SW 184TH St
Cutler Bay, FL 33157-6608
Phone
(305) 278-8264
Fax
(305) 278-8284
NPI assigned
Jan 17, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2019

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

Authorized official

Name
Juan M Fernandez
Title
Owner
Phone
(305) 278-8264

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X Primary

Addresses

Primary practice location

10900 SW 184TH St
Cutler Bay, FL 33157-6608

Mailing address

10900 SW 184TH St
Cutler Bay, FL 33157-6608
Phone (305) 278-8264

Other identifiers 1

IdentifierTypeStateIssuer
100221600MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Jesus Es Mi Roca 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.

Locations

10900 SW 184th St
Cutler Bay, FL 33157
Phone (305) 278-8264

NPI Registry JSON

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

{
    "created_epoch": "1547683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547683200000",
    "number": "1023582541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10900 SW 184TH ST",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331576608",
            "telephone_number": "305-278-8264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10900 SW 184TH ST",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331576608",
            "telephone_number": "305-278-8264",
            "fax_number": "305-278-8284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESUS ES MI ROCA, INC,",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-17",
        "last_updated": "2019-01-17",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-278-8264"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100221600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cutler Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2019; 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.