Las Olas Community Health Corp

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

LAS OLAS COMMUNITY HEALTH CORP

Practice address

4005 NW 114TH Ave Unit 22
Doral, FL 33178-4373

Phone

(786) 614-6736

NPI assigned

Mar 4, 2021

Organization subpart

No

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

Authorized official

Name

Mrs. Ilka Cancio-Alonso

Title

Authorized Official

Phone

(786) 614-6736

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1614816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614816000000",
    "number": "1356936124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4005 NW 114TH AVE UNIT 22",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331784373",
            "telephone_number": "786-614-6736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4005 NW 114TH AVE UNIT 22",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331784373",
            "telephone_number": "786-614-6736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAS OLAS COMMUNITY HEALTH CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-04",
        "last_updated": "2021-03-04",
        "certification_date": "2021-03-04",
        "status": "A",
        "authorized_official_last_name": "CANCIO-ALONSO",
        "authorized_official_first_name": "ILKA",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "786-614-6736",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "2021009669",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Liliana C Larez
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• Maria Elena Laria, DDS
• Brandon Robert Larkin, D.D.S
• Victoria Larroque
• Las Tias All Insurance Corp
• Latitude Dental
• Lina Latorre, M.D.
• Dianelys Lau Pereira
• Alfredo Juan Lau, NURSE PRACTITIONER

• Community/Behavioral Health Agency in Doral, FL
• Providers in Doral, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.