La Sagrada Familia Medical Center

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

LA SAGRADA FAMILIA MEDICAL CENTER

Practice address

7270 NW 12TH St Ste 430
Miami, FL 33126-1941

Phone

(786) 615-2843

Fax

(786) 980-1607

NPI assigned

Oct 18, 2022

Organization subpart

Yes

Parent organization

LA SAGRADA FAMILIA MEDICAL CENTER INCAs reported in NPPES

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

Authorized official

Name

Ailen Cruz BergonNPI 1891566295

Title

President

Phone

(786) 615-2843

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• La Sagrada Familia Medical Center Inc

  dba La Sagrada Familia Mental Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Miami, FL
  • NPI 1508468869

  O20211213002415

  Same enrollment

Part of

La Sagrada Fam Med Ctr Inc

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• La Sagrada Familia Medical Center Inc

  dba La Sagrada Familia Mental Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Miami, FL
  • NPI 1508468869
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ailen Cruz Bergon, RN

  • Registered Nurse
  • Miami, FL
  • NPI 1891566295
  NPD Authorized official

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

{
    "created_epoch": "1666051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666051200000",
    "number": "1730805086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7270 NW 12TH ST STE 430",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331261941",
            "telephone_number": "786-615-2843",
            "fax_number": "786-980-1607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7270 NW 12TH ST STE 430",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331261941",
            "telephone_number": "786-615-2843",
            "fax_number": "786-980-1607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA SAGRADA FAMILIA MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LA SAGRADA FAMILIA MEDICAL CENTER INC",
        "enumeration_date": "2022-10-18",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A",
        "authorized_official_last_name": "CRUZ BERGON",
        "authorized_official_first_name": "AILEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-615-2843"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• La Rosa Pharmacy Inc
• Caleb La Rosa
• Doris La Rosa, BCABA
• Leslie La Rosa
• Michelle Alexandra La Rotta, RD
• La Sagrada Familia Medical Center Inc (La Sagrada Familia Mental Health)
• La Salle Comprehensive Inc
• La Salle Optical Corp
• La Salud Medical Center
• La Salud Research Clinic 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 Oct 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.