Organization Active NPI

Santos Alf Corp.

  • Assisted Living Facility
  • Miami, FL
National Provider Identifier
1891385456
Registry record updated Aug 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
SANTOS ALF CORP.
Practice address
10935 SW 218TH Ter
Miami, FL 33170-3053
Phone
(305) 964-7597
Fax
(305) 964-7597
NPI assigned
Jan 19, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2022

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

Authorized official

Name
Omar Mendez
Title
Owner
Phone
(305) 910-9465

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

10935 SW 218TH Ter
Miami, FL 33170-3053

Mailing address

10935 SW 218TH Ter
Miami, FL 33170-3053
Phone (305) 964-7597

Other identifiers 1

IdentifierTypeStateIssuer
AL13547OtherFLAHCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1611014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659312000000",
    "number": "1891385456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10935 SW 218TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331703053",
            "telephone_number": "305-964-7597",
            "fax_number": "305-964-7597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10935 SW 218TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331703053",
            "telephone_number": "305-964-7597",
            "fax_number": "305-964-7597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTOS ALF CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-19",
        "last_updated": "2022-08-01",
        "certification_date": "2022-08-01",
        "status": "A",
        "authorized_official_last_name": "MENDEZ",
        "authorized_official_first_name": "OMAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-910-9465"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA",
            "identifier": "AL13547",
            "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 Aug 1, 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.