Active NPI
Miracles of Life at Cutler Bay, Inc
- Community/Behavioral Health Agency
- Cutler Bay, FL
National Provider Identifier
1770192569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- MIRACLES OF LIFE AT CUTLER BAY, INC
- Practice address
- 10994 SW 184TH St.
Cutler Bay, FL 33157-6615 - Phone
- (305) 964-5530
- Fax
- (305) 290-3384
- NPI assigned
- Jul 28, 2020
- 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
- Arnaldo Rafael Zamora Obregon, CEO
- Title
- Ceo
- Phone
- (305) 964-5530
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
10994 SW 184TH St.
Cutler Bay, FL 33157-6615
Mailing address
10994 SW 184TH St.
Cutler Bay, FL 33157-6615
Phone (305) 964-5530
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 111926100 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
18951 SW 106th Ave
Ste 106
Cutler Bay, FL 33157
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595894400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1657324800000",
"number": "1770192569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10994 SW 184TH ST.",
"city": "CUTLER BAY",
"state": "FL",
"postal_code": "331576615",
"telephone_number": "305-964-5530",
"fax_number": "305-290-3384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10994 SW 184TH ST.",
"city": "CUTLER BAY",
"state": "FL",
"postal_code": "331576615",
"telephone_number": "305-964-5530",
"fax_number": "305-290-3384"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIRACLES OF LIFE AT CUTLER BAY, INC",
"organizational_subpart": "NO",
"enumeration_date": "2020-07-28",
"last_updated": "2022-07-09",
"certification_date": "2022-07-09",
"status": "A",
"authorized_official_last_name": "ZAMORA OBREGON",
"authorized_official_first_name": "ARNALDO",
"authorized_official_middle_name": "RAFAEL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "305-964-5530",
"authorized_official_credential": "CEO"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "111926100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cutler Bay, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.