Cordoba Alf LLC

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

Legal business name

CORDOBA ALF LLC

Practice address

1135 SW 100TH CT
Miami, FL 33174-2848

Phone

(704) 615-0476

Fax

(305) 468-6504

NPI assigned

May 21, 2020

Organization subpart

No

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

Authorized official

Name

Brian M Trujillo

Title

Owner

Phone

(305) 972-0375

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1590019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590019200000",
    "number": "1356964555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1135 SW 100TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331742848",
            "telephone_number": "704-615-0476",
            "fax_number": "305-468-6504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 SW 100TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331742848",
            "telephone_number": "704-615-0476",
            "fax_number": "305-468-6504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORDOBA ALF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-21",
        "last_updated": "2020-05-21",
        "certification_date": "2020-05-21",
        "status": "A",
        "authorized_official_last_name": "TRUJILLO",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-972-0375"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yontuet Cordero
• Cynthia Cordes
• Michel Cordies Perez, SA-C
• Cordina Inc
• Robert Alexander Cordo, APRN
• Caridad Cordoba Torres, FOREIGN MEDICAL DOC.
• Ivet T. Cordoba Torres, MD
• Doria Cordoba
• Margarita R Cordoba, MD
• Michael Cordoba

• Assisted Living Facility (Mental Illness) in Miami, FL
• Providers in Miami, FL by specialty
• Assisted Living Facility (Mental Illness) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2020; 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.