La Vida En El Mar Alf

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

AL12627 Issued in FL

Legal business name

LA VIDA EN EL MAR ALF

Practice address

6802 Rosewood CT
Tampa, FL 33615-3318

Phone

(786) 488-1075

Fax

(813) 885-3810

NPI assigned

Mar 3, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Luis Y Fuentes Jr., LUIS

Title

Administrator

Phone

(813) 770-0340

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1425340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425340800000",
    "number": "1346632163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6802 ROSEWOOD CT",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336153318",
            "telephone_number": "786-488-1075",
            "fax_number": "813-885-3810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6802 ROSEWOOD CT",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336153318",
            "telephone_number": "786-488-1075",
            "fax_number": "813-885-3810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA VIDA EN EL MAR ALF",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-03",
        "last_updated": "2015-03-03",
        "status": "A",
        "authorized_official_last_name": "FUENTES",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "813-770-0340",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "LUIS"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "AL12627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• La Mano Amiga Corp.
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• Nikki La Rosa, PHD
• Sheryl La Rue
• La Vida Medical Group , Inc
• Ai Ai La
• Kiet Tuan La, MD
• Lab-Athena, Inc
• Danny Rafik Lababidi, MD

• Clinic/Center in Tampa, FL
• Providers in Tampa, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2015; 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.