Active NPI
Miami Health Center, LLC
- Psychiatry Physician
- Cutler Bay, FL
National Provider Identifier
1083189013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 104891200 | Medicaid | FL | |
| 106017200 | Medicaid | FL | |
| 101870800 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Social Worker
- Homestead, FL
- NPI 1093348427
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.