Buena Vista Medical Center Inc

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

BUENA VISTA MEDICAL CENTER INC

Practice address

14505 Commerce Way Ste 509
Miami Lakes, FL 33016-1529

Phone

(786) 715-8937

NPI assigned

Sep 16, 2020

Organization subpart

No

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

Authorized official

Name

Ronald Richar Almaguer Guerrero

Title

President

Phone

(786) 715-8937

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1578179404. Details of each certification follow.

• CCN 684635 Community mental health center · Active · Name & address match · Details

Community mental health center certification: CCN 684635

Legal name

DIAMOND HEALTH MEDICAL CARE CENTER INC

Certification status

Active

Provider type (POS)

Community mental health center

Participating since

Dec 5, 2022

Last certification

Nov 1, 2022

Ownership / control type

For profit – individual

Facility address

14505 Commerce Way Ste 750
Miami Lakes, FL 33016

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

{
    "created_epoch": "1600214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600214400000",
    "number": "1578179404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14505 COMMERCE WAY STE 509",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330161529",
            "telephone_number": "786-715-8937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14505 COMMERCE WAY STE 509",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330161529",
            "telephone_number": "786-715-8937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUENA VISTA MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-16",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A",
        "authorized_official_last_name": "ALMAGUER GUERRERO",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "RICHAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-715-8937"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria del Pilar Brinez Giraldo, M.D
• Jose Alberto Brito Perez
• Janay Brito
• Yunaxi Bruzon
• Kathleen Priscilla Bucarito, DNP, APRN, FNP-BC
• Bryan Burgos Valdespino, DC
• Marisol Alicia Burgos, RBT
• Leidy Burricaudy
• Clyde Edward Burroughs Jr., OTR
• Sandra Bustos, OTA

• Mental Health Clinic/Center (Including Community Mental Health Center) in Miami Lakes, FL
• Providers in Miami Lakes, FL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.