Organization Active NPI

Delta Healthcare Center Corp

  • Clinic/Center
  • Miami, FL
National Provider Identifier
1295285252
Registry record updated Oct 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
HCC10775 Issued in FL
Legal business name
DELTA HEALTHCARE CENTER CORP
Practice address
8890 SW 24TH St
Suite 207
Miami, FL 33165-2060
Phone
(786) 615-9388
Fax
(844) 319-2949
NPI assigned
Oct 13, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2016

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

Authorized official

Name
Carlos Manuel Juncosa Cabrera
Title
President
Phone
(786) 615-9388

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X HCC10775 FL Primary

Addresses

Primary practice location

8890 SW 24TH St
Suite 207
Miami, FL 33165-2060

Mailing address

8890 SW 24TH St
Suite 207
Miami, FL 33165-2060
Phone (786) 615-9388

Other identifiers 1

IdentifierTypeStateIssuer
HCC10775OtherFLAHCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1476316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476316800000",
    "number": "1295285252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8890 SW 24TH ST",
            "address_2": "SUITE 207",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331652060",
            "telephone_number": "786-615-9388",
            "fax_number": "844-319-2949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8890 SW 24TH ST",
            "address_2": "SUITE 207",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331652060",
            "telephone_number": "786-615-9388",
            "fax_number": "844-319-2949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELTA HEALTHCARE CENTER CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-13",
        "last_updated": "2016-10-13",
        "status": "A",
        "authorized_official_last_name": "JUNCOSA CABRERA",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "MANUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-615-9388"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "HCC10775",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA",
            "identifier": "HCC10775",
            "state": "FL"
        }
    ],
    "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 13, 2016; 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.