Organization Active NPI

Bravo'S Family Center, Inc

  • Family Medicine Physician
  • Hialeah, FL
National Provider Identifier
1821715053
Registry record updated Oct 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
BRAVO'S FAMILY CENTER, INC
Practice address
2100 W 76TH St Ste 201-203
Hialeah, FL 33016-5539
Phone
(786) 400-2962
NPI assigned
Oct 27, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2022

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

Authorized official

Name
Yusnelis Acosta
Title
Owner
Phone
(786) 236-5408

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2100 W 76TH St Ste 201-203
Hialeah, FL 33016-5539

Mailing address

2100 W 76TH St Ste 201-203
Hialeah, FL 33016-5539
Phone (786) 400-2962

National Provider Directory

National Provider Directory

Locations

2100 W 76th St
Ste 201203
Hialeah, FL 33016
Phone (786) 400-2962

NPI Registry JSON

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

{
    "created_epoch": "1666828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666828800000",
    "number": "1821715053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 W 76TH ST STE 201-203",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330165539",
            "telephone_number": "786-400-2962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 W 76TH ST STE 201-203",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330165539",
            "telephone_number": "786-400-2962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAVO'S FAMILY CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-27",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A",
        "authorized_official_last_name": "ACOSTA",
        "authorized_official_first_name": "YUSNELIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-236-5408"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.