Active NPI
Canna-Care Health
- Primary Care Clinic/Center
- Miami Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- CANNA-CARE HEALTH
- Practice address
- 1000 5TH St Ste 200
Miami Beach, FL 33139-6510 - Phone
- (305) 305-0310
- Fax
- (888) 419-8506
- NPI assigned
- Jul 23, 2020
- Organization subpart
- Yes
- Parent organization
- REJUVENATE MED SPA PA
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Altagracia Miranda, MD
- Title
- Ceo
- Phone
- (305) 305-0310
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
1000 5TH St Ste 200
Miami Beach, FL 33139-6510
Mailing address
1000 5TH St Ste 200
Miami Beach, FL 33139-6510
Phone (305) 305-0310
National Provider Directory
National Provider Directory- Part of
- Canna-Care Health
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Primary Care Clinic/Center
- Miami, FL
- NPI 1740583749
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Emergency Medicine Physician
- Miami Beach, FL
- NPI 1568441244
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595462400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1595462400000",
"number": "1154930469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 5TH ST STE 200",
"city": "MIAMI BEACH",
"state": "FL",
"postal_code": "331396510",
"telephone_number": "305-305-0310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 5TH ST STE 200",
"city": "MIAMI BEACH",
"state": "FL",
"postal_code": "331396510",
"telephone_number": "305-305-0310",
"fax_number": "888-419-8506"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CANNA-CARE HEALTH",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "REJUVENATE MED SPA PA",
"enumeration_date": "2020-07-23",
"last_updated": "2020-07-23",
"certification_date": "2020-07-23",
"status": "A",
"authorized_official_last_name": "MIRANDA",
"authorized_official_first_name": "ALTAGRACIA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "305-305-0310",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.