Organization Active NPI

Life Spring Research Foundation

  • Family Medicine Physician
  • Miami, FL
National Provider Identifier
1285222166
Registry record updated Jan 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
LIFE SPRING RESEARCH FOUNDATION
Practice address
432 SW 8TH Ave
Miami, FL 33130-2507
Phone
(786) 409-3785
Fax
(786) 409-2253
NPI assigned
Jan 6, 2021
Organization subpart
Yes
Parent organization
LIFE SPRING RESEARCH FOUNDATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 6, 2021

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

Authorized official

Name
Yvette Rodriguez
Title
Owner Site Director
Phone
(786) 436-4155

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

432 SW 8TH Ave
Miami, FL 33130-2507

Mailing address

432 SW 8TH Ave
Miami, FL 33130-2507
Phone (786) 409-3785

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2061121Life Spring Research Foundation and Service432 SW 8TH Ave, Miami, FL 33130Certificate of waiverJun 23, 2027

National Provider Directory

National Provider Directory
Part of
Life Spring Research Foundation

NPI Registry JSON

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

{
    "created_epoch": "1609891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609891200000",
    "number": "1285222166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "432 SW 8TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331302507",
            "telephone_number": "786-409-3785",
            "fax_number": "786-409-2253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "432 SW 8TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331302507",
            "telephone_number": "786-409-3785",
            "fax_number": "786-409-2253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE SPRING RESEARCH FOUNDATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LIFE SPRING RESEARCH FOUNDATION",
        "enumeration_date": "2021-01-06",
        "last_updated": "2021-01-06",
        "certification_date": "2021-01-06",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "YVETTE",
        "authorized_official_title_or_position": "OWNER SITE DIRECTOR",
        "authorized_official_telephone_number": "786-436-4155"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "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 Jan 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.