NPIMap

Organization Active NPI

Empowered Living Community Center Corp.

  • Case Management Agency
  • West Miami, FL
National Provider Identifier
1346809357
Registry record updated Feb 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
EMPOWERED LIVING COMMUNITY CENTER CORP.
Practice address
950 SW 57TH Ave Apt 704
West Miami, FL 33144-5094
Phone
(786) 547-1568
NPI assigned
Jun 12, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2021

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

Authorized official

Name
Dr. Maikel Roque RuanoNPI 1770875684
Title
President
Phone
(786) 547-1568

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

950 SW 57TH Ave Apt 704
West Miami, FL 33144-5094

Mailing address

950 SW 57TH Ave Apt 304
West Miami, FL 33144-5087
Phone (786) 547-1568

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL roque.endodontics@gmail.com
Other URL sendinc

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1560297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613260800000",
    "number": "1346809357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 SW 57TH AVE APT 304",
            "city": "WEST MIAMI",
            "state": "FL",
            "postal_code": "331445087",
            "telephone_number": "786-547-1568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 SW 57TH AVE APT 704",
            "city": "WEST MIAMI",
            "state": "FL",
            "postal_code": "331445094",
            "telephone_number": "786-547-1568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPOWERED LIVING COMMUNITY CENTER CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-12",
        "last_updated": "2021-02-14",
        "certification_date": "2021-02-14",
        "status": "A",
        "authorized_official_last_name": "ROQUE RUANO",
        "authorized_official_first_name": "MAIKEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-547-1568",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "roque.endodontics@gmail.com",
            "affiliation": "N",
            "address_1": "950 SW 57th Ave Apt 304",
            "city": "West Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331445087",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "sendinc",
            "affiliation": "N",
            "address_1": "950 SW 57th Ave Apt 304",
            "city": "West Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331445087",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.