Organization Active NPI

Mirabal Recovery Center Corp

  • Clinic/Center
  • Doral, FL
National Provider Identifier
1407660939
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
MIRABAL RECOVERY CENTER CORP
Practice address
3625 NW 82ND Ave Ste 100LL
Doral, FL 33166-6652
Phone
(786) 298-6595
NPI assigned
Feb 5, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2025

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

Authorized official

Name
Carlos Mirabal
Title
Administrator
Phone
(786) 298-6595

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

3625 NW 82ND Ave Ste 100LL
Doral, FL 33166-6652

Mailing address

3625 NW 82ND Ave Ste 100LL
Doral, FL 33166-6652

National Provider Directory

National Provider Directory

Locations

3625 NW 82nd Ave
Ste 100LL
Doral, FL 33166
Phone (786) 298-6595

NPI Registry JSON

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

{
    "created_epoch": "1738713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738713600000",
    "number": "1407660939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3625 NW 82ND AVE STE 100LL",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3625 NW 82ND AVE STE 100LL",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666652",
            "telephone_number": "786-298-6595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRABAL RECOVERY CENTER CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-05",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-04",
        "status": "A",
        "authorized_official_last_name": "MIRABAL",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "786-298-6595"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; 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.