Organization Active NPI

New Life Polyclinics Inc

  • General Practice Physician
  • Miami Springs, FL
National Provider Identifier
1386700912
Registry record updated Aug 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
HCC7720 Issued in FL
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2008

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)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
277418600MedicaidFL

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.