Organization Active NPI

Mini Miracles Pediatrics Medical Daycare Inc

  • Medically Fragile Infants and Children Day Care
  • Bonita Springs, FL
National Provider Identifier
1629780309
Registry record updated Jul 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medically Fragile Infants and Children Day CareTaxonomy code 261QM3000X
Legal business name
MINI MIRACLES PEDIATRICS MEDICAL DAYCARE INC
Practice address
28410 Bonita Crossings Blvd Unit 180
Bonita Springs, FL 34135-3219
Phone
(239) 319-5353
NPI assigned
Dec 14, 2022
Last updated
Jul 11, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2023

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

Authorized official

Name
Maria Reyes
Title
Ceo
Phone
(239) 319-5353

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medically Fragile Infants and Children Day Care 261QM3000X Primary

Addresses

Primary practice location

28410 Bonita Crossings Blvd Unit 180
Bonita Springs, FL 34135-3219

Mailing address

28410 Bonita Crossings Blvd Unit 180
Bonita Springs, FL 34135-3219
Phone (239) 319-5353

National Provider Directory

National Provider Directory

Locations

28410 Bonita Crossings Blvd
Ste 55
Bonita Springs, FL 34135

28410 Bonita Crossings Blvd
Unit 180
Bonita Springs, FL 34135
Phone (239) 319-5353

NPI Registry JSON

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

{
    "created_epoch": "1670976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689033600000",
    "number": "1629780309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28410 BONITA CROSSINGS BLVD UNIT 180",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341353219",
            "telephone_number": "239-319-5353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28410 BONITA CROSSINGS BLVD UNIT 180",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341353219",
            "telephone_number": "239-319-5353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINI MIRACLES PEDIATRICS MEDICAL DAYCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-14",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "239-319-5353"
    },
    "taxonomies": [
        {
            "code": "261QM3000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medically Fragile Infants and Children Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bonita Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2023; 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.