Organization Active NPI

La Clinica Latina Inc

  • General Practice Physician
  • Miami, FL
National Provider Identifier
1104954668
Registry record updated Apr 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
HCC5379 Issued in FL
Legal business name
LA CLINICA LATINA INC
Practice address
1070 SW 1St St
Miami, FL 33130-1009
Phone
(305) 545-0055
Fax
(305) 545-0066
NPI assigned
Feb 28, 2007
Last updated
Apr 20, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2009

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

Authorized official

Name
Dr. Alejandro F Ferras, M.D.NPI 1962432302
Title
President
Phone
(305) 545-0055

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X HCC5379 FL Primary

Addresses

Primary practice location

1070 SW 1St St
Miami, FL 33130-1009

Mailing address

1070 SW 1St St
Miami, FL 33130-1009
Phone (305) 545-0055

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090409000078 FL Part B Supplier - Clinic/Group Practice 5698822625 Receives reassigned benefits from 1 practitioner
Practice locations: Miami, FL

National Provider Directory

National Provider Directory

Locations

1070 SW 1st St
Miami, FL 33130
Phone (305) 545-0055

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240185600000",
    "number": "1104954668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1070 SW 1ST ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331301009",
            "telephone_number": "305-545-0055",
            "fax_number": "305-545-0066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1070 SW 1ST ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331301009",
            "telephone_number": "305-545-0055",
            "fax_number": "305-545-0066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA CLINICA LATINA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2009-04-20",
        "status": "A",
        "authorized_official_last_name": "FERRAS",
        "authorized_official_first_name": "ALEJANDRO",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-545-0055",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "HCC5379",
            "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 Apr 20, 2009; 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.