Organization Active NPI

Baracusa Health Care Corp

  • Developmental Disabilities Clinic/Center
  • Miami, FL
National Provider Identifier
1942765482
Registry record updated Feb 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
Legal business name
BARACUSA HEALTH CARE CORP
Doing business as
Baracusa Support Services Corp
Practice address
7235 Coral Way Ste 204B
Miami, FL 33155-1451
Phone
(786) 452-0257
Fax
(786) 536-9248
NPI assigned
Feb 8, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2019

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

Authorized official

Name
Darguin A Gonzalez
Title
Owner
Phone
(786) 452-0257

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X Primary

Addresses

Primary practice location

7235 Coral Way Ste 204B
Miami, FL 33155-1451

Mailing address

7235 Coral Way Ste 204B
Miami, FL 33155-1451
Phone (786) 452-0257

Other names 1

  • Baracusa Support Services Corp Doing business as

National Provider Directory

National Provider Directory

Locations

7235 Coral Way
Ste 204B
Miami, FL 33155
Phone (786) 452-0257

NPI Registry JSON

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

{
    "created_epoch": "1549584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549584000000",
    "number": "1942765482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7235 CORAL WAY STE 204B",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331551451",
            "telephone_number": "786-452-0257",
            "fax_number": "786-536-9248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7235 CORAL WAY STE 204B",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331551451",
            "telephone_number": "786-452-0257",
            "fax_number": "786-536-9248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARACUSA HEALTH CARE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-08",
        "last_updated": "2019-02-08",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "DARGUIN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-452-0257"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baracusa Support Services Corp",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 8, 2019; 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.