Organization Active NPI

Amistad 308 Inc

  • Assisted Living Facility
  • Miami, FL
National Provider Identifier
1629265566
Registry record updated Aug 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
AMISTAD 308 INC
Practice address
8420 SW 2ND Street
Miami, FL 33144-2006
Phone
(786) 942-3537
Fax
(305) 514-9161
NPI assigned
Sep 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2025

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

Authorized official

Name
Mia Perdomo
Title
President
Phone
(786) 942-3537

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

8420 SW 2ND Street
Miami, FL 33144-2006

Mailing address

8420 SW 2ND Street
Miami, FL 33144-2006
Phone (786) 942-3537

Other identifiers 1

IdentifierTypeStateIssuer
142932900MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755216000000",
    "number": "1629265566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8420 SW 2ND STREET",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331442006",
            "telephone_number": "786-942-3537",
            "fax_number": "305-514-9161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8420 SW 2ND STREET",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331442006",
            "telephone_number": "786-942-3537",
            "fax_number": "305-514-9161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMISTAD 308 INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-25",
        "last_updated": "2025-08-15",
        "status": "A",
        "authorized_official_last_name": "PERDOMO",
        "authorized_official_first_name": "MIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-942-3537"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142932900",
            "state": "FL"
        }
    ],
    "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 Aug 15, 2025; 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.