La Colonia Medical Center

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME43500 Issued in FL

Legal business name

LA COLONIA MEDICAL CENTER

Practice address

330 SW 27TH Ave
Suite 707
Miami, FL 33135-2961

Phone

(305) 646-0333

NPI assigned

Feb 8, 2007

Last updated

Jul 3, 2008By 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

Yenin Acevedo

Title

President

Phone

(305) 646-0333

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215043200000",
    "number": "1649310368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4901 SW 27 AVE",
            "address_2": "MIAMI",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 SW 27TH AVE",
            "address_2": "SUITE 707",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331352961",
            "telephone_number": "305-646-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA COLONIA MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2008-07-03",
        "status": "A",
        "authorized_official_last_name": "ACEVEDO",
        "authorized_official_first_name": "YENIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-646-0333"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME43500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• La Casita Nuestra Home, Inc.
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• La Clinica Latina Inc
• Jennifer Helen La Coa
• La Colonia Medical Center
• La Colonia Medical Center Inc
• La Colonia Wellness Center Little Havana LLC
• La Colonia Wellness Center West Kendall LLC
• La Colonia Wellness Center Westchester LLC
• La Covadonga Retirement Living, Inc.

• Family Medicine Physician in Miami, FL
• Providers in Miami, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2008; 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.