Atlantic Health Clinic

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

MA57943 Issued in FL

Legal business name

ATLANTIC HEALTH CLINIC

Practice address

3900 NW 79TH Ave
Suite #512
Doral, FL 33166-6556

Phone

(786) 972-8093

NPI assigned

Sep 12, 2013

Last updated

Sep 12, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Aldo Cabrera, LMT

Title

President

Phone

(786) 972-8093

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1378944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378944000000",
    "number": "1740615400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 NW 79TH AVE",
            "address_2": "SUITE #512",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666556",
            "telephone_number": "786-972-8093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 NW 79TH AVE",
            "address_2": "SUITE #512",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666556",
            "telephone_number": "786-972-8093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC HEALTH CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-12",
        "last_updated": "2013-09-12",
        "status": "A",
        "authorized_official_last_name": "CABRERA",
        "authorized_official_first_name": "ALDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-972-8093",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "MA57943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aida Ason Vivanco
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• Astrid Pena LLC
• Guny Tessy Atalaya
• Atlantic Group Medical Center Inc
• Atlantic Home Care Services Corp.
• Atlantic Medical Center Doral Inc
• Atlantic Medical Specialty, Inc
• Atlantic Solutions Express, Inc.
• Atlantis Mental Health Center, Corp

• Clinic/Center in Doral, FL
• Providers in Doral, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2013; 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.