Organization Active NPI

Population Health Alliance LLC

  • Preferred Provider Organization
  • Miami, FL
National Provider Identifier
1720555204
Registry record updated May 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
Legal business name
POPULATION HEALTH ALLIANCE LLC
Practice address
8200 SW 117TH Ave Ste 314
Miami, FL 33183-4826
Phone
(305) 274-6422
NPI assigned
Nov 1, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2022

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

Authorized official

Name
Joseph L Caruncho
Title
Manager
Phone
(786) 878-5505

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X Primary

Addresses

Primary practice location

8200 SW 117TH Ave Ste 314
Miami, FL 33183-4826

Mailing address

806 S Douglas Rd Ste 700
Coral Gables, FL 33134-2082
Phone (786) 878-5500

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1541030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651622400000",
    "number": "1720555204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 S DOUGLAS RD STE 700",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331342082",
            "telephone_number": "786-878-5500",
            "fax_number": "786-552-9696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 SW 117TH AVE STE 314",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331834826",
            "telephone_number": "305-274-6422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POPULATION HEALTH ALLIANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-01",
        "last_updated": "2022-05-04",
        "certification_date": "2022-05-04",
        "status": "A",
        "authorized_official_last_name": "CARUNCHO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "786-878-5505"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 4, 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.

Verify at the official NPI Registry.