Organization Active NPI

Fenix Health Center Inc

  • General Practice Physician
  • Miami Gardens, FL
National Provider Identifier
1740949965
Registry record updated May 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
FENIX HEALTH CENTER INC
Practice address
5901 NW 183Rd St Ste 137
Miami Gardens, FL 33015-6009
Phone
(305) 974-4049
NPI assigned
Dec 15, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2022

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

Authorized official

Name
Ms. Dianabel Blanco
Title
Owner
Phone
(305) 974-4049

Specialties & licenses 1

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

Addresses

Primary practice location

5901 NW 183Rd St Ste 137
Miami Gardens, FL 33015-6009

Mailing address

5901 NW 183Rd St Ste 137
Miami Gardens, FL 33015-6009
Phone (305) 974-4049

National Provider Directory

National Provider Directory

Locations

5901 NW 183rd St
Ste 137
Miami Gardens, FL 33015
Phone (305) 974-4049

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1639526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652659200000",
    "number": "1740949965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 NW 183RD ST STE 137",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330156009",
            "telephone_number": "305-974-4049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 NW 183RD ST STE 137",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330156009",
            "telephone_number": "305-974-4049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FENIX HEALTH CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-15",
        "last_updated": "2022-05-16",
        "certification_date": "2022-05-16",
        "status": "A",
        "authorized_official_last_name": "BLANCO",
        "authorized_official_first_name": "DIANABEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-974-4049",
        "authorized_official_name_prefix": "Ms."
    },
    "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 Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.