Nirvana Clinic Center LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

NIRVANA CLINIC CENTER LLC

Practice address

8765 SW 165TH Ave Ste 105
Miami, FL 33193-5832

Phone

(786) 577-0024

Fax

(786) 773-2234

NPI assigned

Feb 29, 2016

Organization subpart

No

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

Authorized official

Name

Daniela Manno

Title

Director

Phone

(786) 577-0024

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Tax ID family

Nirvana Clinic Center LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Nirvana Clinic Center LLC

  • Behavior Analyst
  • Miami, FL
  • NPI 1306554936
  NPD tax ID
• Nirvana Clinic Center LLC

  • Pediatric Rehabilitation Medicine Physician
  • Miami, FL
  • NPI 1396441689
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Roynny Javier Sanchez Gil, MD, C-SA

  • Surgery Physician
  • Daytona Beach, FL
  • NPI 1164889168
  Medicare reassignment NPD

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

{
    "created_epoch": "1456704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638144000000",
    "number": "1811357122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8765 SW 165TH AVE STE 105",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331935832",
            "telephone_number": "786-577-0024",
            "fax_number": "786-773-2234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8765 SW 165TH AVE STE 105",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331935832",
            "telephone_number": "786-577-0024",
            "fax_number": "786-773-2234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIRVANA CLINIC CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-29",
        "last_updated": "2021-11-29",
        "certification_date": "2021-11-29",
        "status": "A",
        "authorized_official_last_name": "MANNO",
        "authorized_official_first_name": "DANIELA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "786-577-0024"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria E Nino Hernandez
• Gloria Nino
• Nirmal R. Nathan, M.D., P.a.
• Nirvana Clinic Center LLC
• Nirvana Clinic Center LLC
• Nirvana Medical Group Inc
• Eric J Nisenbaum, MD
• Ian (Nmi) Nisonson, M.D.
• Katherine Nistal Sayago
• Pongtip Nitibhon, RPH

• Community/Behavioral Health Agency in Miami, FL
• Providers in Miami, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.