Organization Active NPI

Miracles of Life at Cutler Bay, Inc

  • Community/Behavioral Health Agency
  • Cutler Bay, FL
National Provider Identifier
1770192569
Registry record updated Jul 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
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

Updated by the provider on Jul 9, 2022

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
111926100MedicaidFL

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.