Organization Active NPI

Benefica Health Center, Corp

  • Clinic/Center
  • Miami, FL
National Provider Identifier
1821425802
Registry record updated Oct 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
HCC7167 Issued in FL
Legal business name
BENEFICA HEALTH CENTER, CORP
Practice address
3383 NW 7TH St
Suite# 109
Miami, FL 33125-4140
Phone
(305) 642-8718
Fax
(305) 642-8792
NPI assigned
Oct 4, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2013

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

Authorized official

Name
Mr. Otto Balbino Elcoro
Title
President-Owner
Phone
(305) 642-8718

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X HCC7167 FL Primary

Addresses

Primary practice location

3383 NW 7TH St
Suite# 109
Miami, FL 33125-4140

Mailing address

3383 NW 7TH St
Suite# 109
Miami, FL 33125-4140
Phone (305) 642-8718

Other identifiers 1

IdentifierTypeStateIssuer
HCC7167OtherFLAHCA LICENSE

National Provider Directory

National Provider Directory
Tax ID family
Benefica Health Center Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1380844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380844800000",
    "number": "1821425802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3383 NW 7TH ST",
            "address_2": "SUITE# 109",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331254140",
            "telephone_number": "305-642-8718",
            "fax_number": "305-642-8792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3383 NW 7TH ST",
            "address_2": "SUITE# 109",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331254140",
            "telephone_number": "305-642-8718",
            "fax_number": "305-642-8792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENEFICA HEALTH CENTER, CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-04",
        "last_updated": "2013-10-04",
        "status": "A",
        "authorized_official_last_name": "ELCORO",
        "authorized_official_first_name": "OTTO",
        "authorized_official_middle_name": "BALBINO",
        "authorized_official_title_or_position": "PRESIDENT-OWNER",
        "authorized_official_telephone_number": "305-642-8718",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "HCC7167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA LICENSE",
            "identifier": "HCC7167",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2013; 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.