Bermudez Senior Care, Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL11117 Issued in FL

Legal business name

BERMUDEZ SENIOR CARE, INC

Practice address

5301 SW 162ND PL
Miami, FL 33185-5045

Phone

(305) 227-2661

Fax

(305) 227-2551

NPI assigned

Jun 1, 2008

Last updated

Jun 1, 2008By 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

Ms. Mayencys Triana

Title

President

Phone

(305) 227-2661

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1212278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212278400000",
    "number": "1760640122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5301 SW 162ND PL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331855045",
            "telephone_number": "305-227-2661",
            "fax_number": "305-227-2551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 SW 162ND PL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331855045",
            "telephone_number": "305-227-2661",
            "fax_number": "305-227-2551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERMUDEZ SENIOR CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-01",
        "last_updated": "2008-06-01",
        "status": "A",
        "authorized_official_last_name": "TRIANA",
        "authorized_official_first_name": "MAYENCYS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-227-2661",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL11117",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142884500",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "693049200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Natacha Bermudez Fernandez
• Saray Lazara Bermudez Garcia
• Angelica Maria Bermudez Montero
• Daniel Alejandro Bermudez Rodriguez
• Bermudez Senior Care II Inc
• Edey Bermudez Victores
• Yelena Bermudez Vina
• Ady Bermudez-Besharat, M.D.
• Raul Ricardo Bermudez-Velez, M.D.
• Brian Bermudez

• Assisted Living Facility in Miami, FL
• Providers in Miami, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2008; 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.