Organization Active NPI

Fkppec3, Inc.

  • Pediatric Skilled Nursing Facility
  • Miami, FL
National Provider Identifier
1285261867
Registry record updated Aug 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Skilled Nursing FacilityTaxonomy code 3140N1450X
Legal business name
FKPPEC3, INC.
Doing business as
First Kid's PPEC
Practice address
8681 Coral Way
Miami, FL 33155-2337
Phone
(754) 223-2945
NPI assigned
Mar 24, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2020

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

Authorized official

Name
Jonathan David Carvajal, ESQ
Title
Chief Compliance Officer
Phone
(305) 796-5103

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Skilled Nursing Facility 3140N1450X Primary

Addresses

Primary practice location

8681 Coral Way
Miami, FL 33155-2337

Mailing address

8681 Coral Way
Miami, FL 33155-2337

Other names 1

  • First Kid's PPEC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1585008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598486400000",
    "number": "1285261867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8681 CORAL WAY",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331552337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8681 CORAL WAY",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331552337",
            "telephone_number": "754-223-2945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FKPPEC3, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-24",
        "last_updated": "2020-08-27",
        "certification_date": "2020-08-27",
        "status": "A",
        "authorized_official_last_name": "CARVAJAL",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "CHIEF COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "305-796-5103",
        "authorized_official_credential": "ESQ"
    },
    "taxonomies": [
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "First Kid's PPEC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 27, 2020; 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.