Organization Active NPI

Curitiva Medical Clinic, LLC

  • Multi-Specialty Clinic/Center
  • Cutler Bay, FL
National Provider Identifier
1306544242
Registry record updated Feb 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
CURITIVA MEDICAL CLINIC, LLC
Practice address
9722 SW 184TH St
Cutler Bay, FL 33157-6987
Phone
(786) 429-3312
Fax
(305) 275-7066
NPI assigned
Feb 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2023

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

Authorized official

Name
Dianelys M Bombibo
Title
President
Phone
(305) 586-3125

Specialties & licenses 1

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

Addresses

Primary practice location

9722 SW 184TH St
Cutler Bay, FL 33157-6987

Mailing address

10651 SW 88TH St Ste 102
Miami, FL 33176-1573
Phone (305) 586-3125

Other identifiers 1

IdentifierTypeStateIssuer
100141400MedicaidFL

National Provider Directory

National Provider Directory

Locations

10651 SW 88th St
Ste 102
Miami, FL 33176

NPI Registry JSON

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

{
    "created_epoch": "1676851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676851200000",
    "number": "1306544242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10651 SW 88TH ST STE 102",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331761573",
            "telephone_number": "305-586-3125",
            "fax_number": "305-275-7066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9722 SW 184TH ST",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331576987",
            "telephone_number": "786-429-3312",
            "fax_number": "305-275-7066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CURITIVA MEDICAL CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-20",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-20",
        "status": "A",
        "authorized_official_last_name": "BOMBIBO",
        "authorized_official_first_name": "DIANELYS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-586-3125"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100141400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cutler Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2023; 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.