Illuminating Lives Corp

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

ILLUMINATING LIVES CORP

Practice address

11510 SW 80TH St
Miami, FL 33173-3603

Phone

(786) 282-9935

NPI assigned

Jun 14, 2011

Organization subpart

No

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

Authorized official

Name

Mrs. Rosario ValladaresNPI 1669694824

Title

President

Phone

(786) 200-2208

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rosario Valladares, B.S

  • Developmental Therapist
  • Miami, FL
  • NPI 1669694824
  NPD (past) Authorized official

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

{
    "created_epoch": "1308009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404950400000",
    "number": "1326333634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11510 SW 80TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11510 SW 80TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733603",
            "telephone_number": "786-282-9935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLUMINATING LIVES CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-14",
        "last_updated": "2014-07-10",
        "status": "A",
        "authorized_official_last_name": "VALLADARES",
        "authorized_official_first_name": "ROSARIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-200-2208",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luisa Maria Illarreta Pena, APRN
• Alfa Osiris Illescas, MSOTR/L
• Liliana Illescas, LMT
• Edward Harris Illions, M.D.
• Illuminate Therapy, LLC
• Illusion Hair Industries LLC
• Illusion Optical Design, Inc.
• Illusions Home Care Services, Inc
• Illusions Home Care Services, Inc
• Ils HHA of Region 11, LLC

• Early Intervention Provider Agency in Miami, FL
• Providers in Miami, FL by specialty
• Early Intervention Provider Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2014; 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.