Organization Active NPI

Lago Mental Health Corp

  • Community Health Clinic/Center
  • Cutler Bay, FL
National Provider Identifier
1073192258
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
Legal business name
LAGO MENTAL HEALTH CORP
Practice address
11055 SW 186TH St Ste 207
Cutler Bay, FL 33157-6842
Phone
(786) 692-5743
Fax
(786) 422-9043
NPI assigned
Apr 6, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

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

Authorized official

Name
Mr. Adlay Lago
Title
Authorized Offical
Phone
(786) 483-5523

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X Primary

Addresses

Primary practice location

11055 SW 186TH St Ste 207
Cutler Bay, FL 33157-6842

Mailing address

11055 SW 186TH St Ste 207
Cutler Bay, FL 33157-6842
Phone (786) 483-5523

Other identifiers 1

IdentifierTypeStateIssuer
LICENSEOtherFL7318060

National Provider Directory

National Provider Directory

Locations

11055 SW 186th St
Ste 207
Cutler Bay, FL 33157
Phone (786) 483-5523

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1617667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741651200000",
    "number": "1073192258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11055 SW 186TH ST STE 207",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331576842",
            "telephone_number": "786-483-5523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11055 SW 186TH ST STE 207",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331576842",
            "telephone_number": "786-692-5743",
            "fax_number": "786-422-9043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAGO MENTAL HEALTH CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-06",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A",
        "authorized_official_last_name": "LAGO",
        "authorized_official_first_name": "ADLAY",
        "authorized_official_title_or_position": "AUTHORIZED OFFICAL",
        "authorized_official_telephone_number": "786-483-5523",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "7318060",
            "identifier": "LICENSE",
            "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 Mar 11, 2025; 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.