Active NPI
Population Health Alliance LLC
- Preferred Provider Organization
- Miami, FL
National Provider Identifier
1720555204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Preferred Provider Organization
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.