Waterfold Centers Corp

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

WATERFOLD CENTERS CORP

Practice address

18441 NW 2ND Ave Ste 214E
Miami Gardens, FL 33169-4517

Phone

(954) 543-6577

NPI assigned

Jan 31, 2023

Organization subpart

No

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

Authorized official

Name

Osmany Alfonso Gonzalez

Title

Owner

Phone

(954) 543-6577

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1675123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675123200000",
    "number": "1063118206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18441 NW 2ND AVE STE 214E",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331694517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18441 NW 2ND AVE STE 214E",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331694517",
            "telephone_number": "954-543-6577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATERFOLD CENTERS CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-31",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A",
        "authorized_official_last_name": "ALFONSO GONZALEZ",
        "authorized_official_first_name": "OSMANY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-543-6577"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Miami Gardens, FL
• Providers in Miami Gardens, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2023; 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.