Organization Active NPI

Renovation of Life Dialysis Center, Corp.

  • Clinic/Center
  • Miami Lakes, FL
National Provider Identifier
1184954513
Registry record updated Jan 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
RENOVATION OF LIFE DIALYSIS CENTER, CORP.
Practice address
14505 Commerce Way
Suite # 600
Miami Lakes, FL 33016-1597
Phone
(305) 362-8399
Fax
(305) 362-8351
NPI assigned
Jan 7, 2010
Last updated
Jan 7, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2010

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

Authorized official

Name
Mrs. Aymee Toledo
Title
President
Phone
(305) 362-8399

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

14505 Commerce Way
Suite # 600
Miami Lakes, FL 33016-1597

Mailing address

14505 Commerce Way
Suite # 600
Miami Lakes, FL 33016-1597
Phone (305) 362-8399

National Provider Directory

National Provider Directory

Locations

14505 Commerce Way
Ste 600
Miami Lakes, FL 33016
Phone (305) 362-8399

NPI Registry JSON

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

{
    "created_epoch": "1262822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262822400000",
    "number": "1184954513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14505 COMMERCE WAY",
            "address_2": "SUITE # 600",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330161597",
            "telephone_number": "305-362-8399",
            "fax_number": "305-362-8351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14505 COMMERCE WAY",
            "address_2": "SUITE # 600",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330161597",
            "telephone_number": "305-362-8399",
            "fax_number": "305-362-8351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENOVATION OF LIFE DIALYSIS CENTER, CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-07",
        "last_updated": "2010-01-07",
        "status": "A",
        "authorized_official_last_name": "TOLEDO",
        "authorized_official_first_name": "AYMEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-362-8399",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2010; 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.