San Lazaro Alf Corp.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

8671 Issued in FL

Legal business name

SAN LAZARO ALF CORP.

Practice address

1984 NW 22ND PL
Miami, FL 33125-1314

Phone

(786) 357-3573

NPI assigned

Jul 2, 2014

Last updated

Jul 2, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gualter Cok

Title

Owner

Phone

(786) 357-3573

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1404259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404259200000",
    "number": "1578979282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1984 NW 22ND PL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331251314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1984 NW 22ND PL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331251314",
            "telephone_number": "786-357-3573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN LAZARO ALF CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-02",
        "last_updated": "2014-07-02",
        "status": "A",
        "authorized_official_last_name": "COK",
        "authorized_official_first_name": "GUALTER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-357-3573"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "8671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pedro Pablo San Martin Parra, 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 Jul 2, 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.