Organization Active NPI

Miracle Mile Community Mental Health Center, Inc.

  • Community/Behavioral Health Agency
  • Miami, FL
National Provider Identifier
1871654632
Registry record updated Oct 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MIRACLE MILE COMMUNITY MENTAL HEALTH CENTER, INC.
Practice address
955 NW 3Rd St Ste 105
Miami, FL 33128-1281
Phone
(305) 324-9494
Fax
(305) 324-9491
NPI assigned
Dec 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2007

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

Authorized official

Name
Mrs. Luisa E Perez
Title
President
Phone
(305) 324-9494

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

955 NW 3Rd St Ste 105
Miami, FL 33128-1281

Mailing address

955 NW 3Rd St Ste 105
Miami, FL 33128-1281
Phone (305) 324-9494

National Provider Directory

National Provider Directory

Locations

955 NW 3rd St
Ste 105
Miami, FL 33128
Phone (305) 324-9494

1619 NW 27th Ave
Miami, FL 33125
Phone (305) 400-9985

Practitioners & affiliated clinicians

Practitioners 1

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": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191888000000",
    "number": "1871654632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 NW 3RD ST STE 105",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331281281",
            "telephone_number": "305-324-9494",
            "fax_number": "305-324-9491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 NW 3RD ST STE 105",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331281281",
            "telephone_number": "305-324-9494",
            "fax_number": "305-324-9491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRACLE MILE COMMUNITY MENTAL HEALTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2007-10-09",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "LUISA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-324-9494",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 9, 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.