Organization Active NPI

Namaste Holistic Center, Corp

  • Health Service Clinic/Center
  • Pembroke Pines, FL
National Provider Identifier
1225455561
Registry record updated Mar 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
AP2891 Issued in FL
Legal business name
NAMASTE HOLISTIC CENTER, CORP
Practice address
18503 Pines Blvd
Suite 309
Pembroke Pines, FL 33029-1404
Phone
(954) 885-5279
NPI assigned
Mar 25, 2014
Last updated
Mar 25, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2014

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

Authorized official

Name
Dr. Sandra Mora-Viera, DOM, MD (COLOMBIA)NPI 1457669749
Title
Doctor of Oriental Medicine
Phone
(954) 200-4587

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X AP2891 FL Primary

Addresses

Primary practice location

18503 Pines Blvd
Suite 309
Pembroke Pines, FL 33029-1404

Mailing address

2103 Renaissance Blvd
Apt 201
Miramar, FL 33025-5691
Phone (954) 200-4587

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1395705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395705600000",
    "number": "1225455561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2103 RENAISSANCE BLVD",
            "address_2": "APT 201",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330255691",
            "telephone_number": "954-200-4587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18503 PINES BLVD",
            "address_2": "SUITE 309",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330291404",
            "telephone_number": "954-885-5279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAMASTE HOLISTIC CENTER, CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-25",
        "last_updated": "2014-03-25",
        "status": "A",
        "authorized_official_last_name": "MORA-VIERA",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "DOCTOR OF ORIENTAL MEDICINE",
        "authorized_official_telephone_number": "954-200-4587",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DOM, MD (COLOMBIA)"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "FL",
            "license": "AP2891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2014; 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.