Organization Active NPI

Latinos Salud

  • Community/Behavioral Health Agency
  • Wilton Manors, FL
National Provider Identifier
1447872213
Registry record updated Aug 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
LATINOS SALUD
Practice address
1401 NE 26TH St
Wilton Manors, FL 33305-1321
Phone
(954) 765-6239
Fax
(954) 827-7780
NPI assigned
May 14, 2020
Last updated
Aug 8, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2025

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

Authorized official

Name
Stephen Fallon, PHD
Title
Executive Director
Phone
(954) 765-6239

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

1401 NE 26TH St
Wilton Manors, FL 33305-1321

Mailing address

1401 NE 26TH St
Wilton Manors, FL 33305-1321
Phone (954) 765-6239

Other practice location 1

640 NE 124th St
North Miami, FL 33161-5523
Phone (786) 631-4538

Other practice location 2

8946 SW 40th St
Miami, FL 33165-5304
Phone (786) 801-1803

Other practice location 3

925 Arthur Godfrey Rd Ste 200
Miami Beach, FL 33140-3338
Phone (305) 397-8967

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230331001027 FL Part B Supplier - Clinic/Group Practice 4587039722 Receives reassigned benefits from 4 practitioners
Practice locations: Wilton Manors, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2036361Latinos Salud Inc1401 NE 26TH Street, Wilton Manors, FL 33305Certificate of waiverFeb 6, 2028

National Provider Directory

National Provider Directory

Locations

8946 SW 40th St
Miami, FL 33165
Phone (786) 801-1803

925 W 41st St
Ste 200
Miami Beach, FL 33140
Phone (305) 397-8967

1401 NE 26th St
Wilton Manors, FL 33305
Phone (954) 765-6239

2330 Wilton Dr
Wilton Manors, FL 33305

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26676/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1589414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754611200000",
    "number": "1447872213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 NE 26TH ST",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "333051321",
            "telephone_number": "954-765-6239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 NE 26TH ST",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "333051321",
            "telephone_number": "954-765-6239",
            "fax_number": "954-827-7780"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "640 NE 124th St",
            "address_purpose": "LOCATION",
            "city": "North Miami",
            "state": "FL",
            "postal_code": "331615523",
            "country_code": "US",
            "telephone_number": "786-631-4538",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8946 SW 40th St",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331655304",
            "country_code": "US",
            "telephone_number": "786-801-1803",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "925 Arthur Godfrey Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Miami Beach",
            "state": "FL",
            "postal_code": "331403338",
            "country_code": "US",
            "telephone_number": "305-397-8967",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LATINOS SALUD",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-14",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-08",
        "status": "A",
        "authorized_official_last_name": "FALLON",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "954-765-6239",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilton Manors, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.