Organization Active NPI

Juventud Corporation

  • General Practice Physician
  • Miami, FL
National Provider Identifier
1750390647
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
JUVENTUD CORPORATION
Practice address
1701 W Flagler St
Suite 308
Miami, FL 33135-2098
Phone
(305) 646-0440
Fax
(305) 646-0405
NPI assigned
Aug 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Juan Carlos Prado Sr.
Title
President/Owner
Phone
(786) 390-9295

Specialties & licenses 1

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

Addresses

Primary practice location

1701 W Flagler St
Suite 308
Miami, FL 33135-2098

Mailing address

1701 W Flagler St
Suite 308
Miami, FL 33135-2098
Phone (305) 646-0440

National Provider Directory

National Provider Directory

Locations

1701 W Flagler St
Ste 308
Miami, FL 33135
Phone (786) 291-7908

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750390647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 W FLAGLER ST",
            "address_2": "SUITE 308",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331352098",
            "telephone_number": "305-646-0440",
            "fax_number": "305-646-0405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 W FLAGLER ST",
            "address_2": "SUITE 308",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331352098",
            "telephone_number": "305-646-0440",
            "fax_number": "305-646-0405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUVENTUD CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PRADO",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "CARLOS",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "786-390-9295",
        "authorized_official_name_suffix": "Sr."
    },
    "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 Aug 22, 2020; 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.