Little Havana Health & Rejuvenation Center, Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

LITTLE HAVANA HEALTH & REJUVENATION CENTER, INC

Practice address

1756 SW 8TH St Ste 206
Miami, FL 33135-3544

Phone

(305) 771-7545

Fax

(786) 577-0317

NPI assigned

Aug 18, 2021

Organization subpart

No

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

Authorized official

Name

Aleida Hera Jimenez, MDNPI 1649421058

Title

Owner

Phone

(305) 771-7545

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

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

• Aleida Hera Jimenez, MD

  • General Practice Physician
  • Miami, FL
  • NPI 1649421058
  Medicare reassignment Authorized official
• Alejandro F Ferras, M.D.

  • Family Medicine Physician
  • Miami, FL
  • NPI 1962432302
  NPD

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

{
    "created_epoch": "1629244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629244800000",
    "number": "1083380356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1756 SW 8TH ST STE 206",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331353544",
            "telephone_number": "305-771-7545",
            "fax_number": "786-577-0317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1756 SW 8TH ST STE 206",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331353544",
            "telephone_number": "305-771-7545",
            "fax_number": "786-577-0317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE HAVANA HEALTH & REJUVENATION CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-18",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A",
        "authorized_official_last_name": "HERA JIMENEZ",
        "authorized_official_first_name": "ALEIDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-771-7545",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Little Havana Activities and Nutrition Centers of Dade County, Inc
• Little Havana Activities and Nutrition Centers of Dade County, Inc
• Little Havana Activities and Nutrtion Centers of Dade County
• Little Havana Alf ,Inc
• Little Havana Drug Store Inc
• Little Havana HHC
• Little Havana II
• Little Havana Living LLC
• Little Havana Medical Equipment, Corp.
• Little Heroes Behavior Services Inc

• General Practice Physician in Miami, FL
• Providers in Miami, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.