Organization Active NPI

Forever Healthy Living Inc

  • Medical Specialty Clinic/Center
  • Coral Gables, FL
National Provider Identifier
1952797573
Registry record updated Apr 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
ME65756 Issued in FL
Legal business name
FOREVER HEALTHY LIVING INC
Practice address
3934 SW 8TH St Ste 308
Coral Gables, FL 33134-2949
Phone
(305) 793-8195
NPI assigned
Apr 9, 2015
Last updated
Apr 9, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2015

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

Authorized official

Name
Dagoberto Navia la Rosa, LMT
Title
Owner
Phone
(305) 793-8195

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X ME65756 FL
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X PT1567 FL
Medical Specialty Clinic/Center 261QM2500X ME65756 FL Primary

Addresses

Primary practice location

3934 SW 8TH St Ste 308
Coral Gables, FL 33134-2949

Mailing address

3934 SW 8TH St Ste 308
Coral Gables, FL 33134-2949

National Provider Directory

National Provider Directory

Locations

3937 SW 8TH St Ste 308
Coral Gables, FL 33134
Phone (305) 646-1647

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1428537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428537600000",
    "number": "1952797573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3934 SW 8TH ST STE 308",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331342949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3934 SW 8TH ST STE 308",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331342949",
            "telephone_number": "305-793-8195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREVER HEALTHY LIVING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-09",
        "last_updated": "2015-04-09",
        "status": "A",
        "authorized_official_last_name": "NAVIA LA ROSA",
        "authorized_official_first_name": "DAGOBERTO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-793-8195",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME65756",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "PT1567",
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "FL",
            "license": "ME65756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2015; 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.