Organization Active NPI

Doctor Mental Corp

  • Community/Behavioral Health Agency
  • Miami, FL
National Provider Identifier
1316517816
Registry record updated Jun 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
DOCTOR MENTAL CORP
Practice address
1801 Coral Way Ste 315
Miami, FL 33145-2784
Phone
(786) 525-3887
NPI assigned
Jun 28, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2021

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

Authorized official

Name
Mr. Eduardo J Anzola Lucena
Title
Authorized Offical
Phone
(786) 832-1388

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1801 Coral Way Ste 315
Miami, FL 33145-2784

Mailing address

1801 Coral Way Ste 315
Miami, FL 33145-2784
Phone (786) 525-3887

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1624838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624838400000",
    "number": "1316517816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 CORAL WAY STE 315",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331452784",
            "telephone_number": "786-525-3887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 CORAL WAY STE 315",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331452784",
            "telephone_number": "786-525-3887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTOR MENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-28",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A",
        "authorized_official_last_name": "ANZOLA LUCENA",
        "authorized_official_first_name": "EDUARDO",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "AUTHORIZED OFFICAL",
        "authorized_official_telephone_number": "786-832-1388",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "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 Jun 28, 2021; 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.