La Reina Alf

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL-11480 Issued in FL

Legal business name

LA REINA ALF

Practice address

4501 NW 165TH St
Miami Gardens, FL 33054-6005

Phone

(786) 282-7885

NPI assigned

Mar 23, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Osniel Vera

Title

President

Phone

(786) 282-7885

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1237766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237766400000",
    "number": "1811138738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4501 NW 165TH ST",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330546005",
            "telephone_number": "786-282-7885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 NW 165TH ST",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330546005",
            "telephone_number": "786-282-7885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA REINA ALF",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-23",
        "last_updated": "2009-03-23",
        "status": "A",
        "authorized_official_last_name": "VERA",
        "authorized_official_first_name": "OSNIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-282-7885",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL-11480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Miami Gardens, FL
• Providers in Miami Gardens, 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 Mar 23, 2009; 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.