Organization Active NPI

Miracle Research Health Centers LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hallandale Beach, FL
National Provider Identifier
1245109974
Registry record updated Oct 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
MIRACLE RESEARCH HEALTH CENTERS LLC
Practice address
600 W Hallandale Beach Blvd Ste 5
Hallandale Beach, FL 33009-5302
Phone
(786) 344-9767
NPI assigned
Oct 31, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2025

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

Authorized official

Name
Geovanny George Tejeda
Title
Owner
Phone
(786) 344-9767

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

600 W Hallandale Beach Blvd Ste 5
Hallandale Beach, FL 33009-5302

Mailing address

600 W Hallandale Beach Blvd Ste 5
Hallandale Beach, FL 33009-5302
Phone (786) 344-9767

National Provider Directory

National Provider Directory
Tax ID family
Miracle Research Health Centers LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1761868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761868800000",
    "number": "1245109974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 W HALLANDALE BEACH BLVD STE 5",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330095302",
            "telephone_number": "786-344-9767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W HALLANDALE BEACH BLVD STE 5",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330095302",
            "telephone_number": "786-344-9767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRACLE RESEARCH HEALTH CENTERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-31",
        "last_updated": "2025-10-31",
        "certification_date": "2025-10-31",
        "status": "A",
        "authorized_official_last_name": "TEJEDA",
        "authorized_official_first_name": "GEOVANNY",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-344-9767"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hallandale Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2025; 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.