Organization Active NPI

Kids Fitness for Life LLC

  • Primary Care Clinic/Center
  • Miami, FL
National Provider Identifier
1063811602
Registry record updated Aug 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
KIDS FITNESS FOR LIFE LLC
Practice address
10271 SW 72ND St
Unit D101
Miami, FL 33173-3024
Phone
(786) 866-9264
Fax
(786) 866-9265
NPI assigned
Aug 20, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2014

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

Authorized official

Name
Dr. Yamile Marles, MD
Title
Owner
Phone
(786) 866-9264

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

10271 SW 72ND St
Unit D101
Miami, FL 33173-3024

Mailing address

10271 SW 72ND St
Unit D101
Miami, FL 33173-3024
Phone (786) 866-9264

National Provider Directory

National Provider Directory

Locations

10271 SW 72nd St
Unit D101
Miami, FL 33173
Phone (786) 866-9264

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10501/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1408492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408492800000",
    "number": "1063811602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10271 SW 72ND ST",
            "address_2": "UNIT D101",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733024",
            "telephone_number": "786-866-9264",
            "fax_number": "786-866-9265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10271 SW 72ND ST",
            "address_2": "UNIT D101",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733024",
            "telephone_number": "786-866-9264",
            "fax_number": "786-866-9265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS FITNESS FOR LIFE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-20",
        "last_updated": "2014-08-20",
        "status": "A",
        "authorized_official_last_name": "MARLES",
        "authorized_official_first_name": "YAMILE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-866-9264",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2014; 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.