NPIMap

Organization Active NPI

Nostrum Medical Center West Little Havana LLC

  • General Practice Physician
  • Miami, FL
National Provider Identifier
1740557495
Registry record updated Nov 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
NOSTRUM MEDICAL CENTER WEST LITTLE HAVANA LLC
Practice address
42 NW 27TH Ave Ste 401
Miami, FL 33125-5135
Phone
(305) 642-9997
Fax
(305) 642-9520
NPI assigned
Nov 23, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2011

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

Authorized official

Name
Dr. Henry Lora, M.D.
Title
President
Phone
(305) 642-9997

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

42 NW 27TH Ave Ste 401
Miami, FL 33125-5135

Mailing address

42 NW 27TH Ave Ste 401
Miami, FL 33125-5135
Phone (305) 642-9997

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1322006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322006400000",
    "number": "1740557495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 NW 27TH AVE STE 401",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331255135",
            "telephone_number": "305-642-9997",
            "fax_number": "305-642-9520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 NW 27TH AVE STE 401",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331255135",
            "telephone_number": "305-642-9997",
            "fax_number": "305-642-9520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOSTRUM MEDICAL CENTER WEST LITTLE HAVANA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-23",
        "last_updated": "2011-11-23",
        "status": "A",
        "authorized_official_last_name": "LORA",
        "authorized_official_first_name": "HENRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-642-9997",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "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 Nov 23, 2011; 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.