Organization Active NPI

Clinica Artesana LLC

  • Counselor
  • Pembroke Pines, FL
National Provider Identifier
1063172773
Registry record updated Dec 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
CLINICA ARTESANA LLC
Practice address
701 SW 109TH Ave Unit 33-302
Pembroke Pines, FL 33025-7120
Phone
(754) 800-8505
NPI assigned
Dec 21, 2021
Last updated
Dec 21, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2021

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

Authorized official

Name
Priscilla Cerdas
Title
Owner
Phone
(754) 800-8505

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU Primary

Addresses

Primary practice location

701 SW 109TH Ave Unit 33-302
Pembroke Pines, FL 33025-7120

Mailing address

701 SW 109TH Ave Unit 33-302
Pembroke Pines, FL 33025-7120
Phone (754) 800-8505

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1640044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640044800000",
    "number": "1063172773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 SW 109TH AVE UNIT 33-302",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330257120",
            "telephone_number": "754-800-8505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 SW 109TH AVE UNIT 33-302",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330257120",
            "telephone_number": "754-800-8505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA ARTESANA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-21",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-21",
        "status": "A",
        "authorized_official_last_name": "CERDAS",
        "authorized_official_first_name": "PRISCILLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "754-800-8505"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2021; 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.