Active NPI
Lago Mental Health Corp
- Community Health Clinic/Center
- Cutler Bay, FL
National Provider Identifier
1073192258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LICENSE | Other | FL | 7318060 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Family Nurse Practitioner
- Cutler Bay, FL
- NPI 1740924356
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.