Active NPI
Juventud Corporation
- General Practice Physician
- Miami, FL
National Provider Identifier
1750390647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 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 DirectoryLocations
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.