Nirvana Clinic Center LLC

Primary specialty

Pediatric Rehabilitation Medicine PhysicianTaxonomy code 2081P0010X

Legal business name

NIRVANA CLINIC CENTER LLC

Practice address

8765 SW 165TH Ave Ste 105
Miami, FL 33193-5832

Phone

(786) 577-0024

Fax

(786) 773-2234

NPI assigned

Feb 7, 2023

Organization subpart

No

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

Authorized official

Name

Daniela Manno

Title

Cfo

Phone

(786) 577-0024

Specialties & licenses 1

Addresses

Tax ID family

Nirvana Clinic Center LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Nirvana Clinic Center LLC

  • Behavior Analyst
  • Miami, FL
  • NPI 1306554936
  NPD tax ID
• Nirvana Clinic Center LLC

  • Community/Behavioral Health Agency
  • Miami, FL
  • NPI 1811357122
  NPD tax ID

Locations

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

{
    "created_epoch": "1675728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675728000000",
    "number": "1396441689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8765 SW 165TH AVE STE 105",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331935832",
            "telephone_number": "786-577-0024",
            "fax_number": "786-773-2234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8765 SW 165TH AVE STE 105",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331935832",
            "telephone_number": "786-577-0024",
            "fax_number": "786-773-2234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIRVANA CLINIC CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-07",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-07",
        "status": "A",
        "authorized_official_last_name": "MANNO",
        "authorized_official_first_name": "DANIELA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "786-577-0024"
    },
    "taxonomies": [
        {
            "code": "2081P0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Ninneman, PA
• Maria E Nino Hernandez
• Gloria Nino
• Nirmal R. Nathan, M.D., P.a.
• Nirvana Clinic Center LLC
• Nirvana Clinic Center LLC
• Nirvana Medical Group Inc
• Eric J Nisenbaum, MD
• Ian (Nmi) Nisonson, M.D.
• Katherine Nistal Sayago

• Pediatric Rehabilitation Medicine Physician in Miami, FL
• Providers in Miami, FL by specialty
• Pediatric Rehabilitation Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2023; 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.