Organization Active NPI

Verede Nueva Inc

  • Assisted Living Facility
  • Miami, FL
National Provider Identifier
1104063395
Registry record updated Jan 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
VEREDE NUEVA INC
Practice address
12412 SW 215TH LN
Miami, FL 33177-5964
Phone
(783) 573-9776
Fax
(305) 969-0392
NPI assigned
Jan 10, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2009

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

Authorized official

Name
Mr. Mauricio Martin
Title
President
Phone
(786) 573-9776

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X FL Primary

Addresses

Primary practice location

12412 SW 215TH LN
Miami, FL 33177-5964

Mailing address

12412 SW 215TH LN
Miami, FL 33177-5964
Phone (783) 573-9776

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1231545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231545600000",
    "number": "1104063395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12412 SW 215TH LN",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331775964",
            "telephone_number": "783-573-9776",
            "fax_number": "305-969-0392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12412 SW 215TH LN",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331775964",
            "telephone_number": "783-573-9776",
            "fax_number": "305-969-0392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VEREDE NUEVA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-10",
        "last_updated": "2009-01-10",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "MAURICIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-573-9776",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2009; 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.