NPIMap

Organization Active NPI

Banyan Health Systems

  • Rehabilitation Clinic/Center
  • Miami, FL
National Provider Identifier
1275961872
Registry record updated Oct 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
BANYAN HEALTH SYSTEMS
Practice address
11031 NE 6TH Ave
Miami, FL 33161-7182
Phone
(786) 293-9544
NPI assigned
Oct 17, 2013
Last updated
Oct 17, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2013

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

Authorized official

Name
Mr. Alejandro Javier Lopez Jr., M.S.W.
Title
Therapist
Phone
(305) 781-7265

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X FL Primary

Addresses

Primary practice location

11031 NE 6TH Ave
Miami, FL 33161-7182

Mailing address

310 Fontainebleau Blvd Apt 505
Miami, FL 33172-5726
Phone (305) 781-7265

National Provider Directory

National Provider Directory
Tax ID family
Banyan Health Systems18 organizations share this tax ID, including this one

Other organizations with this tax ID 17

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

View all 17

Locations

11031 NE 6th Ave
Miami Shores, FL 33161
Phone (305) 398-6102

NPI Registry JSON

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

{
    "created_epoch": "1381968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381968000000",
    "number": "1275961872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 FONTAINEBLEAU BLVD APT 505",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331725726",
            "telephone_number": "305-781-7265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11031 NE 6TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331617182",
            "telephone_number": "786-293-9544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BANYAN HEALTH SYSTEMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-17",
        "last_updated": "2013-10-17",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "ALEJANDRO",
        "authorized_official_middle_name": "JAVIER",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "305-781-7265",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.S.W."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "FL",
            "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 Oct 17, 2013; 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.