Active NPI
Curitiva Medical Clinic, LLC
- Multi-Specialty Clinic/Center
- Cutler Bay, FL
National Provider Identifier
1306544242
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100141400 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
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.