Villa Maria Isabel, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL11195 Issued in FL

Legal business name

VILLA MARIA ISABEL, INC.

Practice address

2340 NW 1St St
Miami, FL 33125-5204

Phone

(305) 781-0633

NPI assigned

Feb 25, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Maximo Hernandez Diaz

Title

President

Phone

(305) 781-0633

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1203897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203897600000",
    "number": "1902075849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2340 NW 1ST ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331255204",
            "telephone_number": "305-781-0633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2340 NW 1ST ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331255204",
            "telephone_number": "305-781-0633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLA MARIA ISABEL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-25",
        "last_updated": "2008-02-25",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ DIAZ",
        "authorized_official_first_name": "MAXIMO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-781-0633",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL11195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Miami, FL
• Providers in Miami, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2008; 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.