Organization Active NPI

Los Tres Milagros II, LLC

  • Assisted Living Facility
  • Miami, FL
National Provider Identifier
1437585270
Registry record updated Jan 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
12398 Issued in FL
Legal business name
LOS TRES MILAGROS II, LLC
Practice address
15431 SW 159TH St
Miami, FL 33187-5409
Phone
(305) 234-7246
Fax
(305) 489-8214
NPI assigned
Sep 25, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2023

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

Authorized official

Name
Joadys Jorge
Title
Owner/Administrator
Phone
(786) 610-8113

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 12398 FL Primary

Addresses

Primary practice location

15431 SW 159TH St
Miami, FL 33187-5409

Mailing address

15431 SW 159TH St
Miami, FL 33187-5409
Phone (305) 964-5789

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1380067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673395200000",
    "number": "1437585270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15431 SW 159TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331875409",
            "telephone_number": "305-964-5789",
            "fax_number": "786-373-0112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15431 SW 159TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331875409",
            "telephone_number": "305-234-7246",
            "fax_number": "305-489-8214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOS TRES MILAGROS II, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-25",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A",
        "authorized_official_last_name": "JORGE",
        "authorized_official_first_name": "JOADYS",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "786-610-8113"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "12398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.