Organization Active NPI

Mind Liberty Center Inc

  • Multi-Specialty Clinic/Center
  • Miami, FL
National Provider Identifier
1275118986
Registry record updated Dec 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
MIND LIBERTY CENTER INC
Practice address
2190 NW 2ND St
Miami, FL 33125-5326
Phone
(305) 876-6463
Fax
(786) 744-6463
NPI assigned
Mar 15, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2022

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

Authorized official

Name
Francisco Torres
Title
President
Phone
(305) 876-6463

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

2190 NW 2ND St
Miami, FL 33125-5326

Mailing address

2190 NW 2ND St
Miami, FL 33125-5326
Phone (305) 876-6463

Other practice location 1

2190 NW 2nd St
Miami, FL 33125-5326
Phone (305) 876-6463

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220516000438 FL Part B Supplier - Clinic/Group Practice 5698152585 Receives reassigned benefits from 1 practitioner
Practice locations: Miami, FL

National Provider Directory

National Provider Directory

Locations

2190 NW 2nd St
Miami, FL 33125
Phone (305) 803-1412

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": "1615766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671408000000",
    "number": "1275118986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2190 NW 2ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331255326",
            "telephone_number": "305-876-6463",
            "fax_number": "786-744-6463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2190 NW 2ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331255326",
            "telephone_number": "305-876-6463",
            "fax_number": "786-744-6463"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2190 NW 2nd St",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331255326",
            "country_code": "US",
            "telephone_number": "305-876-6463",
            "fax_number": "786-744-6463",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MIND LIBERTY CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-15",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-19",
        "status": "A",
        "authorized_official_last_name": "TORRES",
        "authorized_official_first_name": "FRANCISCO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-876-6463"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.