Active NPI
Black Coral Gallery Inc
- Adult Day Care Clinic/Center
- Miami, FL
National Provider Identifier
1669772588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- Legal business name
- BLACK CORAL GALLERY INC
- Practice address
- 16267 SW 88TH St
Miami, FL 33196-4912 - Phone
- (305) 386-8356
- Fax
- (305) 386-8357
- NPI assigned
- Oct 26, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alfredo Lopez
- Title
- Owner
- Phone
- (786) 371-4697
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | Primary | ||
| Adult Care Home Facility | 311ZA0620X | 9152 | FL |
Addresses
Primary practice location
16267 SW 88TH St
Miami, FL 33196-4912
Mailing address
16267 SW 88 St
Miami, FL 33196
Phone (305) 386-8356
Other names 1
- Black Coral Gallery INC
National Provider Directory
National Provider Directory- Tax ID family
- Black Coral Gallery Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Locations
16267 SW 88th St
Miami, FL 33196
Phone (305) 386-8356
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288051200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1663632000000",
"number": "1669772588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16267 SW 88 ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "33196",
"telephone_number": "305-386-8356",
"fax_number": "305-386-8357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16267 SW 88TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331964912",
"telephone_number": "305-386-8356",
"fax_number": "305-386-8357"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLACK CORAL GALLERY INC",
"organizational_subpart": "NO",
"enumeration_date": "2010-10-26",
"last_updated": "2022-09-20",
"certification_date": "2022-09-20",
"status": "A",
"authorized_official_last_name": "LOPEZ",
"authorized_official_first_name": "ALFREDO",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "786-371-4697"
},
"taxonomies": [
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": null,
"license": null,
"primary": true
},
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"state": "FL",
"license": "9152",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Black Coral Gallery INC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}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 Sep 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.