Organization Active NPI

Miami Health Center, LLC

  • Psychiatry Physician
  • Cutler Bay, FL
National Provider Identifier
1083189013
Registry record updated Nov 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
MIAMI HEALTH CENTER, LLC
Practice address
19001 SW 106TH Ave Ste C-109
Cutler Bay, FL 33157-7669
Phone
(305) 255-9806
Fax
(305) 255-9807
NPI assigned
Oct 5, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2022

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

Authorized official

Name
Odalys Santana
Title
Administrator
Phone
(305) 255-9806

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

19001 SW 106TH Ave Ste C-109
Cutler Bay, FL 33157-7669

Mailing address

19001 SW 106TH Ave Ste C-109
Cutler Bay, FL 33157-7669
Phone (305) 255-9806

Other practice location 1

18951 SW 106th Ave # B103
Cutler Bay, FL 33157-7668
Phone (305) 255-9806

Other identifiers 3

IdentifierTypeStateIssuer
104891200MedicaidFL
106017200MedicaidFL
101870800MedicaidFL

National Provider Directory

National Provider Directory

Locations

19001 SW 106th Ave
Ste C109
Cutler Bay, FL 33157
Phone (305) 255-9806

Networks

  • HealthSun Health Plans Network

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": "1538697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667520000000",
    "number": "1083189013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19001 SW 106TH AVE STE C-109",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331577669",
            "telephone_number": "305-255-9806",
            "fax_number": "305-255-9807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19001 SW 106TH AVE STE C-109",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331577669",
            "telephone_number": "305-255-9806",
            "fax_number": "305-255-9807"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18951 SW 106th Ave # B103",
            "address_purpose": "LOCATION",
            "city": "Cutler Bay",
            "state": "FL",
            "postal_code": "331577668",
            "country_code": "US",
            "telephone_number": "305-255-9806",
            "fax_number": "305-255-9807",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MIAMI HEALTH CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-05",
        "last_updated": "2022-11-04",
        "certification_date": "2022-11-04",
        "status": "A",
        "authorized_official_last_name": "SANTANA",
        "authorized_official_first_name": "ODALYS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "305-255-9806"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104891200",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106017200",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101870800",
            "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 Nov 4, 2022; 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.