Cristal Community Health Center LLC

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

Legal business name

CRISTAL COMMUNITY HEALTH CENTER LLC

Practice address

931 SW 122ND Ave
Miami, FL 33184-2477

Phone

(786) 326-6308

NPI assigned

Jul 20, 2019

Organization subpart

No

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

Authorized official

Name

Maria Patricia GomezNPI 1316399892

Title

Owner

Phone

(786) 326-6308

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maria Patricia Gomez, CMHP; MFT

  • Marriage & Family Therapist
  • Miami, FL
  • NPI 1316399892
  NPD Authorized official

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

{
    "created_epoch": "1563580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643328000000",
    "number": "1194378901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 SW 122ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331842477",
            "telephone_number": "786-326-6308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "931 SW 122ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331842477",
            "telephone_number": "786-326-6308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRISTAL COMMUNITY HEALTH CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-20",
        "last_updated": "2022-01-28",
        "certification_date": "2022-01-28",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "PATRICIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-326-6308"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ornella Crisanty
• Crisda Learning Center
• Tiffanie Crisi, OD
• Carrin Anne Crissey, ARNP
• Shaun Michael Crist, MD
• Cristal Paradals Community Mental Health Corp
• Cristal Sun Medical Group
• Cristian Breton M.D., P.a.
• Adrian Cristian, MD
• Alexander Cristian, MD

• All providers in Miami, FL
• Community Health Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2022; 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.