Fidelina'S Home, Co

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL11681 Issued in FL

Legal business name

FIDELINA'S HOME, CO

Practice address

10020 SW 55TH St
Miami, FL 33165-7122

Phone

(305) 282-6970

Fax

(305) 223-2371

NPI assigned

Feb 5, 2010

Organization subpart

No

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

Authorized official

Name

Joel Montane

Title

Owner

Phone

(305) 282-6970

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1265328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265328000000",
    "number": "1447582168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10020 SW 55TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331657122",
            "telephone_number": "305-282-6970",
            "fax_number": "305-223-2371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10020 SW 55TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331657122",
            "telephone_number": "305-282-6970",
            "fax_number": "305-223-2371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIDELINA'S HOME, CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-05",
        "last_updated": "2010-02-05",
        "status": "A",
        "authorized_official_last_name": "MONTANE",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-282-6970"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL11681",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001695600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fico Therapies Corp
• Rosa Beatriz Fidalgo Gonzalez
• Edward M Fidalgo, M.D.
• Liannys Fidalgo
• Fidel Cintas MD PA
• Fidelity Health Services PA
• Fidelity Mindful Mental Health
• Fiel Wellness Health Inc
• Fiel Wellness Health Inc
• Daniel Fields, MD

• Assisted Living Facility in Miami, FL
• Providers in Miami, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2010; 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.