Organization Active NPI

Hispaniola Community Center, Inc

  • Case Manager/Care Coordinator
  • North Miami, FL
National Provider Identifier
1821270588
Registry record updated Dec 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
HISPANIOLA COMMUNITY CENTER, INC
Practice address
915 NE 125TH St
Suite 106
North Miami, FL 33161-5722
Phone
(305) 981-4290
Fax
(305) 981-4299
NPI assigned
Dec 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2007

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

Authorized official

Name
Poitevien Telfort
Title
President
Phone
(305) 981-4285

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193400000X SINGLE SPECIALTY GROUP 171M00000X Primary

Addresses

Primary practice location

915 NE 125TH St
Suite 106
North Miami, FL 33161-5722

Mailing address

915 NE 125TH St
Suite 106
North Miami, FL 33161-5722
Phone (305) 981-4290

National Provider Directory

National Provider Directory

Locations

915 NE 125th St
Ste 106
North Miami, FL 33161
Phone (305) 981-4290

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1196726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196726400000",
    "number": "1821270588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 NE 125TH ST",
            "address_2": "SUITE 106",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331615722",
            "telephone_number": "305-981-4290",
            "fax_number": "305-981-4299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 NE 125TH ST",
            "address_2": "SUITE 106",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331615722",
            "telephone_number": "305-981-4290",
            "fax_number": "305-981-4299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HISPANIOLA COMMUNITY CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-04",
        "last_updated": "2007-12-04",
        "status": "A",
        "authorized_official_last_name": "TELFORT",
        "authorized_official_first_name": "POITEVIEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-981-4285"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2007; 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.