Active NPI
New Life Polyclinics Inc
- General Practice Physician
- Miami Springs, FL
National Provider Identifier
1386700912
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- HCC7720
- Legal business name
- NEW LIFE POLYCLINICS INC
- Practice address
- 61 Hook SQ
Miami Springs, FL 33166-4401 - Phone
- (305) 884-8880
- Fax
- (305) 884-7740
- NPI assigned
- Dec 28, 2006
- Last updated
- Aug 19, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Maria Teresa Columbie
- Title
- President
- Phone
- (305) 884-8880
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | HCC7720 | FL | Primary |
| Point of Service | 305S00000X |
Addresses
Primary practice location
61 Hook SQ
Miami Springs, FL 33166-4401
Mailing address
61 Hook SQ
Miami Springs, FL 33166-4401
Phone (305) 884-8880
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 277418600 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
61 Hook Sq
Miami Springs, FL 33166
Phone (305) 884-8880
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167264000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1219104000000",
"number": "1386700912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "61 HOOK SQ",
"city": "MIAMI SPRINGS",
"state": "FL",
"postal_code": "331664401",
"telephone_number": "305-884-8880",
"fax_number": "305-884-7740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "61 HOOK SQ",
"city": "MIAMI SPRINGS",
"state": "FL",
"postal_code": "331664401",
"telephone_number": "305-884-8880",
"fax_number": "305-884-7740"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW LIFE POLYCLINICS INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-28",
"last_updated": "2008-08-19",
"status": "A",
"authorized_official_last_name": "COLUMBIE",
"authorized_official_first_name": "MARIA",
"authorized_official_middle_name": "TERESA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "305-884-8880",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": "FL",
"license": "HCC7720",
"primary": true
},
{
"code": "305S00000X",
"taxonomy_group": "",
"desc": "Point of Service",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "277418600",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Miami Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.