Active NPI
Integrative Health Center
- General Practice Physician
- Miami, FL
National Provider Identifier
1871615682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- INTEGRATIVE HEALTH CENTER
- Practice address
- 13155 SW 42ND Street
Suit 111 112
Miami, FL 33175-3428 - Phone
- (305) 559-7063
- Fax
- (305) 559-7839
- NPI assigned
- Apr 4, 2007
- Last updated
- Feb 12, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Isabel Altagracia Ferreira, MD
- Title
- Pediatrician Medical Director
- Phone
- (305) 559-7063
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME57254 | FL | |
| General Practice Physician | 208D00000X | NU | Primary |
Addresses
Primary practice location
13155 SW 42ND Street
Suit 111 112
Miami, FL 33175-3428
Mailing address
13155 SW 42ND Street
Suit 111 112
Miami, FL 33175-3428
Phone (305) 559-7063
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009723000 | Medicaid | FL | |
| 051410100 | Medicaid | FL |
National Provider Directory
National Provider Directory- Tax ID family
- Integrative Health Center
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Specialist
- Hialeah, FL
- NPI 1033547864
Locations
13155 SW 42nd St
Ste 111
Miami, FL 33175
Phone (305) 456-8600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175644800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1392163200000",
"number": "1871615682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13155 SW 42ND STREET",
"address_2": "SUIT 111 112",
"city": "MIAMI",
"state": "FL",
"postal_code": "331753428",
"telephone_number": "305-559-7063",
"fax_number": "305-559-7839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13155 SW 42ND STREET",
"address_2": "SUIT 111 112",
"city": "MIAMI",
"state": "FL",
"postal_code": "331753428",
"telephone_number": "305-559-7063",
"fax_number": "305-559-7839"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTEGRATIVE HEALTH CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-04",
"last_updated": "2014-02-12",
"status": "A",
"authorized_official_last_name": "FERREIRA",
"authorized_official_first_name": "ISABEL",
"authorized_official_middle_name": "ALTAGRACIA",
"authorized_official_title_or_position": "PEDIATRICIAN MEDICAL DIRECTOR",
"authorized_official_telephone_number": "305-559-7063",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME57254",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009723000",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "051410100",
"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 Feb 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.