NPIMap

Organization Active NPI

Eyea Palace Corp

  • Assisted Living Facility
  • Miami, FL
National Provider Identifier
1487073201
Registry record updated Apr 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
EYEA PALACE CORP
Practice address
3654 SW 156TH CT
Miami, FL 33185-4800
Phone
(786) 615-4139
NPI assigned
Apr 9, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2014

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

Authorized official

Name
Mr. Justo Luis Dominguez
Title
Owner
Phone
(786) 615-4139

Specialties & licenses 1

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

Addresses

Primary practice location

3654 SW 156TH CT
Miami, FL 33185-4800

Mailing address

3654 SW 156TH CT
Miami, FL 33185-4800
Phone (786) 615-4139

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1397001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397001600000",
    "number": "1487073201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3654 SW 156TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331854800",
            "telephone_number": "786-615-4139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3654 SW 156TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331854800",
            "telephone_number": "786-615-4139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYEA PALACE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-09",
        "last_updated": "2014-04-09",
        "status": "A",
        "authorized_official_last_name": "DOMINGUEZ",
        "authorized_official_first_name": "JUSTO",
        "authorized_official_middle_name": "LUIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-615-4139",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": null,
            "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 Apr 9, 2014; 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.