Organization Active NPI

Los Abuelos Corp

  • Adult Day Care Clinic/Center
  • Miami, FL
National Provider Identifier
1114272713
Registry record updated Jul 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
LOS ABUELOS CORP
Practice address
8901 SW 157TH Ave Unit 10
Miami, FL 33196-1157
Phone
(305) 382-0111
Fax
(786) 955-2222
NPI assigned
Jul 19, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2012

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

Authorized official

Name
Mr. Carlos Hernando Pinzon, RN
Title
President
Phone
(786) 234-6513

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X Primary

Addresses

Primary practice location

8901 SW 157TH Ave Unit 10
Miami, FL 33196-1157

Mailing address

8901 SW 157TH Ave Unit 10
Miami, FL 33196-1157
Phone (305) 382-0111

Other identifiers 1

IdentifierTypeStateIssuer
AD12962297OtherFLAGENCY FOR THE HEALTH CARE ADMINISTRATION

National Provider Directory

National Provider Directory

Locations

8901 SW 157th Ave
Unit 10
Miami, FL 33196
Phone (305) 382-0111

NPI Registry JSON

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

{
    "created_epoch": "1342656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342656000000",
    "number": "1114272713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8901 SW 157TH AVE UNIT 10",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331961157",
            "telephone_number": "305-382-0111",
            "fax_number": "786-955-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8901 SW 157TH AVE UNIT 10",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331961157",
            "telephone_number": "305-382-0111",
            "fax_number": "786-955-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOS ABUELOS CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-19",
        "last_updated": "2012-07-19",
        "status": "A",
        "authorized_official_last_name": "PINZON",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "HERNANDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-234-6513",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AGENCY FOR THE HEALTH CARE ADMINISTRATION",
            "identifier": "AD12962297",
            "state": "FL"
        }
    ],
    "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 Jul 19, 2012; 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.