Organization Active NPI

Canna-Care Health

  • Primary Care Clinic/Center
  • Miami Beach, FL
National Provider Identifier
1154930469
Registry record updated Jul 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
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 PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 23, 2020

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

Authorized official

Name
Dr. Altagracia Miranda, MDNPI 1568441244
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)CodeLicenseStatePrimary
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.

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.

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.

Verify at the official NPI Registry.